Individual provider Active NPI

Roland E Gazaille III, D.O.

  • Diagnostic Radiology Physician
  • Detroit, MI
National Provider Identifier
1386816288
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
34.009015 Issued in OH
Practice address
2799 West Grand Blvd a-4 Diagnostic Radiology
Henry Ford Health System
Detroit, MI 48202-3450
Phone
(937) 564-3269
NPI assigned
Mar 31, 2008
Last updated
Mar 29, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 34.009015 OH Primary

Addresses

Primary practice location

2799 West Grand Blvd a-4 Diagnostic Radiology
Henry Ford Health System
Detroit, MI 48202-3450

Mailing address

635 Far Hills Ave
Apt #5
Dayton, OH 45419-3852
Phone (937) 564-3269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20120208000109 OH Practitioner - Diagnostic Radiology 4082806203 Reassigns benefits to 14 organizations
I20220104001247 IN Practitioner - Diagnostic Radiology 4082806203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of New England, College of Osteo Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Network Radiologists IncGroup PAC ID 7618960303, 74 clinicians
Henry County Hospital IncGroup PAC ID 0345141644, 42 clinicians
WRH Physicians, IncGroup PAC ID 0840342366, 149 clinicians
T J Samson Community HospitalGroup PAC ID 0648182600, 197 clinicians
Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians
West Virginia Radiology Associates PCGroup PAC ID 9133666431, 91 clinicians

Practice addresses (Care Compare)

Dayton, OH 45419
Phone (606) 743-3186

100 Kettering Way
Franklin, OH 45005-1155
Phone (937) 458-4700

100 Medical Ctr Dr
Springfield, OH 45504-2687
Phone (937) 523-1000

1010 Woodman Dr
Dayton, OH 45432-1400
Phone (937) 252-2000

1035 W Wayne St
Paulding, OH 45879-1544
Phone (419) 399-1131

113 W National Rd
Vandalia, OH 45377-1934
Phone (937) 898-9729

1141 N Monroe Dr
Xenia, OH 45385-1619
Phone (937) 352-2060

1250 W National Rd
Englewood, OH 45315-9505
Phone (937) 832-3300

1343 N Fountain Blvd
Springfield, OH 45504-1499
Phone (937) 342-5400

1391 Main St
Hamilton, OH 45013-1077
Phone (513) 867-9000

1600 E Riverview Ave
Napoleon, OH 43545-9805
Phone (419) 592-4015

165 E Edwin C Moses Blvd
Dayton, OH 45402-8472
Phone (937) 558-0200

1805 27TH St
Portsmouth, OH 45662-2640
Phone (740) 356-8681

1840 Springfield Rd
Fairborn, OH 45324-7667
Phone (937) 532-8780

1900 23Rd St
Cuyahoga Falls, OH 44223-1404
Phone (330) 971-7246

1977 Miamisburg Centerville Rd
Dayton, OH 45459-3811
Phone (937) 439-6000

2100 Emmanuel Way
Springfield, OH 45502-7217
Phone (937) 384-4510

2300 N Limestone St
Springfield, OH 45503-1102
Phone (937) 504-8300

2449 Ross Millville Rd
Hamilton, OH 45013-8951
Phone (513) 867-5770

3371 Kemp Rd
Beavercreek, OH 45431-2514
Phone (937) 558-3000

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8627

4000 Miamisburg Centerville Rd
Miamisburg, OH 45342-7615
Phone (937) 296-7227

416 E Maumee St
Angola, IN 46703-2015
Phone (260) 667-5136

450 B Washington Jackson Rd
Eaton, OH 45320-8699
Phone (937) 456-8376

50 N Progress Dr
Xenia, OH 45385-2666
Phone (937) 352-2070

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.41 of 100Reported as group
Quality
73.46
Improvement activities
40
Cost
73.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.009015OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia Radiology Associates PC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Appalachian Regional Healthcare, Inc. CurrentSince Sep 23, 2025 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Kettering Network Radiologists Inc Diagnostic Radiology CurrentSince Jul 1, 2004 Accepting new patients
T J Samson Community Hospital CurrentSince Nov 10, 2025 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Feb 6, 2026 Accepting new patients
WRH Physicians, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Sep 23, 2025 Accepting new patients
Arh Tug Valley Health Services, Inc. Diagnostic Radiology CurrentSince Jul 2, 2025 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Jun 9, 2025 Accepting new patients
Arh Tug Valley Health Services, Inc. Diagnostic Radiology Current Accepting new patients
Kettering Medical Center Past Accepting new patients
Merit Radiology PLLC Diagnostic Radiology Past Accepting new patients
Appalachian Regional Healthcare, Inc. Diagnostic Radiology Past Accepting new patients
Appalachian Regional Healthcare, Inc Diagnostic Radiology Past Accepting new patients

Locations (25 of 39)

208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

2510 Commons Blvd
Beavercreek, OH 45431
Phone (937) 223-2911

3371 Kemp Rd
Beavercreek, OH 45431
Phone (937) 320-3600

3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000

407 Main St
Ste 1
Belpre, OH 45714
Phone (304) 615-2454

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

L3402
Columbus, OH 43260
Phone (814) 444-1919

1900 23rd St
Ste 1100
Cuyahoga Falls, OH 44223
Phone (330) 971-7989

1900 23rd St
Ste 403
Cuyahoga Falls, OH 44223
Phone (330) 591-9635

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

1010 Woodman Dr
Dayton, OH 45432
Phone (937) 252-5500

1222 S Patterson Blvd
Ste 400
Dayton, OH 45402
Phone (937) 496-2600

165 S Edwin C Moses Blvd
Dayton, OH 45402
Phone (937) 396-8150

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

6438 Wilmington Pike
Dayton, OH 45459
Phone (937) 558-3810

7740 Washington Village Dr
Ste 140
Dayton, OH 45459
Phone (937) 439-7420

450F Washington Jackson Rd
Eaton, OH 45320
Phone (937) 456-8306

1250 W National Rd
Englewood, OH 45315
Phone (937) 458-0085

1045 Channingway Dr
Fairborn, OH 45324
Phone (937) 878-8644

100 Kettering Way
Franklin, OH 45005
Phone (937) 458-4700

909 E 2nd St
Ste C
Franklin, OH 45005

835 Sweitzer St
Greenville, OH 45331
Phone (937) 548-1141

8701 Troy Pike
Huber Heights, OH 45424
Phone (937) 558-3309

3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221

Networks

  • Freedom Health HMO Network

Organizations & group practices 21

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

View all 21

Hospital & facility affiliations 6

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": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1386816288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 FAR HILLS AVE",
            "address_2": "APT #5",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454193852",
            "telephone_number": "937-564-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 WEST GRAND BLVD A-4 DIAGNOSTIC RADIOLOGY",
            "address_2": "HENRY FORD HEALTH SYSTEM",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "937-564-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZAILLE",
        "first_name": "ROLAND",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-31",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "34.009015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.