Individual provider Active NPI

Michal Klysik, M.D.

  • Neuroradiology Physician
  • Austin, TX
National Provider Identifier
1386806362
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
Q7725 Issued in TX
Practice address
12554 Riata Vista Cir
Austin, TX 78727-6431
Phone
(512) 795-5100
Fax
(512) 795-5122
NPI assigned
Jun 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD61382225 WA
Neuroradiology Physician 2085N0700X Q7725 TX Primary
Neuroradiology Physician 2085N0700X 49163 AZ

Addresses

Primary practice location

12554 Riata Vista Cir
Austin, TX 78727-6431

Mailing address

12554 Riata Vista Cir
Austin, TX 78727-6431
Phone (512) 795-5100

Other practice location 1

203 S Western Ave
Tonasket, WA 98855-8803
Phone (509) 486-2151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20161111000304 TX Practitioner - Diagnostic Radiology 4880837012 Reassigns benefits to 14 organizations
I20230303002159 WA Practitioner - Diagnostic Radiology 4880837012 Reassigns benefits to 8 organizations
I20250114001857 CA Practitioner - Diagnostic Radiology 4880837012 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tower Imaging Medical Associates IncGroup PAC ID 2163608688, 93 clinicians
Swedish Health ServicesGroup PAC ID 3173433067, 156 clinicians
Evergreen Radia LLCGroup PAC ID 4587568076, 116 clinicians
Swedish Radia Imaging Center at Edmonds LLCGroup PAC ID 5496778292, 115 clinicians
Radia California Radiology Medical Group IncGroup PAC ID 8921465998, 134 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians
Radia Oregon Radiology Medical Group LLCGroup PAC ID 2961852637, 122 clinicians
County of Santa ClaraGroup PAC ID 1254244973, shared by 46 NPIs, 1,000 clinicians

Practice addresses (Care Compare)

Austin, TX 78746
Phone (323) 549-3030

13020 Meridian Ave S
Everett, WA 98208-6468
Phone (425) 357-3960

1719 Barn Swallow Dr
Austin, TX 78746-7432
Phone (425) 563-1500

226 Red Hawk RDG
San Antonio, TX 78258-4866
Phone (425) 563-1500

515 Minor Ave
Suite 110
Seattle, WA 98104-2145
Phone (206) 386-9699

6 Kings Lake Estates Blvd
Humble, TX 77346-4035
Phone (425) 563-1500

719 Barnswallow Dr
Austin, TX 78749
Phone (425) 563-1500

751 S Bascom Ave
San Jose, CA 95128-2604
Phone (408) 885-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q7725TXMDNeuroradiology Physician
MD61382225WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 4, King County Wa CurrentSince Mar 1, 2023 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Sep 24, 2025 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Aug 25, 2025 Accepting new patients
County of Santa Clara CurrentSince Nov 11, 2024 Accepting new patients
Medford Radiological Group, PC Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
County of Santa Clara CurrentSince Nov 11, 2024 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Mar 1, 2023 Accepting new patients
Radia California Radiology Medical Group Inc Diagnostic Radiology CurrentSince Sep 16, 2023 Accepting new patients
Austin Radiological Association CurrentSince Jul 3, 2017 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara Current Accepting new patients
Radia Oregon Radiology Medical Group LLC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Swedish Health Services CurrentSince Jun 20, 2023 Accepting new patients
County of Santa Clara CurrentSince Nov 11, 2024 Accepting new patients
Advanced Imaging of South Bay, Inc. Diagnostic Radiology CurrentSince Sep 2, 2024 Accepting new patients
Okanogan County Public Hospital District No. 3 CurrentSince Jan 8, 2025 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Radiology Associates PA Diagnostic Radiology CurrentSince Aug 29, 2025 Accepting new patients
Tower Imaging Medical Associates, Inc. Neuroradiology CurrentSince Apr 1, 2025 Accepting new patients
Swedish Health Services CurrentSince Jun 20, 2023 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Aug 25, 2025 Accepting new patients
Singleton Associates PA Neuroradiology CurrentSince Sep 26, 2016 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
County of Santa Clara CurrentSince Nov 11, 2024 Accepting new patients
Central Washington Health Services Association CurrentSince Feb 1, 2023 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Wenatchee Valley Hospital CurrentSince Oct 1, 2022 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jan 1, 2026 Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients

Locations (25 of 44)

500 S University Ave
Ste 101
Little Rock, AR 72205
Phone (501) 686-2688

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

13355 Hawthorne Blvd
Hawthorne, CA 90250
Phone (310) 355-0100

11570 Indian Hills Rd
Mission Hills, CA 91345
Phone (800) 378-5597

Dept LA 21552
Pasadena, CA 91185

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

19950 Rinaldi St
Ste 101B
Porter Ranch, CA 91326
Phone (818) 496-7517

1450 Medical Center Dr
Rohnert Park, CA 94928
Phone (707) 546-3210

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

26357 McBean Pkwy
Ste 155
Santa Clarita, CA 91355
Phone (661) 288-5940

1328 22nd St
Santa Monica, CA 90404
Phone (310) 829-5511

901 Wilshire Blvd
Fl 1
Santa Monica, CA 90401
Phone (310) 829-8441

121 Sotoyome St
Santa Rosa, CA 95405
Phone (707) 546-3141

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

925 Corporate Cntr Pkwy
Ste A
Santa Rosa, CA 95407
Phone (707) 543-2000

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

21311 Madrona Ave
Ste 100A
Torrance, CA 90503
Phone (310) 792-4400

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

2382 Crenshaw Blvd
Ste 5
Torrance, CA 90501
Phone (310) 618-6200

Interoperability endpoints

  • Direct secure messaging: mklysik574582@direct.peacehealth.org

Organizations & group practices 32

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 32

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1386806362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100",
            "fax_number": "512-795-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100",
            "fax_number": "512-795-5122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Tonasket",
            "state": "WA",
            "postal_code": "988558803",
            "country_code": "US",
            "telephone_number": "509-486-2151",
            "fax_number": "509-223-1640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLYSIK",
        "first_name": "MICHAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD61382225",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "Q7725",
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "AZ",
            "license": "49163",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.