Individual provider Active NPI

Michelle Lee Cacek, D.O.

  • Diagnostic Radiology Physician
  • Johnstown, PA
National Provider Identifier
1457572042
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
OS015044 Issued in PA
Practice address
1086 Franklin St
Johnstown, PA 15905-4305
Phone
(814) 539-5987
Fax
(814) 535-4176
NPI assigned
May 1, 2007
Last updated
Jan 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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 OS015044 PA Primary

Addresses

Primary practice location

1086 Franklin St
Johnstown, PA 15905-4305

Mailing address

239 Main St
Suite 400
Johnstown, PA 15901-1640
Phone (814) 539-5987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 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
I20100630000047 PA Practitioner - Diagnostic Radiology 9638200975 Reassigns benefits to 5 organizations
I20260513000520 OH Practitioner - Diagnostic Radiology 9638200975 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Network Radiologists IncGroup PAC ID 7618960303, 74 clinicians

Practice addresses (Care Compare)

1270 Summit Way
Mechanicsburg, PA 17050-2680
Phone (717) 932-5200

1995 Technology Pkwy
Mechanicsburg, PA 17050-8522
Phone (717) 932-5200

240 Grandview Ave
Camp Hill, PA 17011-1706
Phone (717) 932-5200

300 Highland Ave
Hanover, PA 17331-2297
Phone (717) 932-5200

361 Alexander Spring Rd
Carlisle, PA 17015-6940
Phone (717) 932-5200

4300 Londonderry Rd
Harrisburg, PA 17109-5317
Phone (717) 932-5200

4518 Union Deposit Rd
Harrisburg, PA 17111-2921
Phone (717) 932-5200

51 Business Campus Way
Suite 100
Duncannon, PA 17020-9596
Phone (717) 932-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS015044PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Jan 1, 2021 Accepting new patients
Midatlantic Endoscopy LLC Current Accepting new patients
University of Pittsburgh Physicians Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Jan 1, 2021 Accepting new patients
Kettering Network Radiologists Inc Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Geisinger Clinic Current Accepting new patients
Penn State Health Medical Group, LLC Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Jun 1, 2019 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Jun 1, 2019 Accepting new patients
Quantum Imaging & Therapeutic Associates Inc Diagnostic Radiology CurrentSince Apr 1, 2019 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Allegheny Radiology Associates, LTD Diagnostic Radiology Past Accepting new patients

Locations

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

423 N 21st St
Ste 202
Camp Hill, PA 17011
Phone (717) 763-9880

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2461

100 N Academy Ave
Danville, PA 17822

100 N Academy Ave
#C30192
Danville, PA 17822

51 Business Campus Way
Ste 100
Duncannon, PA 17020
Phone (717) 834-3280

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

629D Lowther Rd
Lewisberry, PA 17339
Phone (717) 938-2765

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

100 E Lancaster Ave
Ste 252
Wynnewood, PA 19096
Phone (610) 896-7360

Organizations & group practices 15

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 15

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1457572042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 MAIN ST",
            "address_2": "SUITE 400",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011640",
            "telephone_number": "814-539-5987",
            "fax_number": "814-535-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "814-539-5987",
            "fax_number": "814-535-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACEK",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "OS015044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.