Individual provider Active NPI

Jeffrey Scott Mitchinson, MD

  • Diagnostic Radiology Physician
  • Flint, MI
National Provider Identifier
1467474635
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301055030 Issued in MI
Practice address
3346 Lennon Road
Flint, MI 48507-1015
Phone
(810) 732-1919
Fax
(810) 732-3740
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301055030 MI
Diagnostic Radiology Physician 2085R0202X 4301055030 MI Primary

Addresses

Primary practice location

3346 Lennon Road
Flint, MI 48507-1015

Mailing address

3346 Lennon Road
Suite 2
Flint, MI 48507-1015
Phone (810) 732-1919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100924001018 MI Practitioner - Diagnostic Radiology 8628194834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Michigan Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Medical Imaging PCGroup PAC ID 4688637697, 22 clinicians

Practice addresses (Care Compare)

1141 S State Rd
Davison, MI 48423-1964
Phone (810) 658-4454

15300 Trenton Rd
Southgate, MI 48195-2027
Phone (734) 281-6600

1794 N Lapeer Rd B
Lapeer, MI 48446-7664
Phone (810) 732-1919

221 W Roberts St
Fenton, MI 48430-2634
Phone (810) 629-4192

24285 Karim Blvd
Novi, MI 48375-2952
Phone (810) 732-1919

5059 Villa Linde Pkwy
Suite 25
Flint, MI 48532-3438
Phone (810) 732-8870

6140 Foxfire Cir
Clarkston, MI 48346-1658
Phone (810) 732-1919

8483 Holly Rd
Grand Blanc, MI 48439-1840
Phone (810) 694-8201

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301055030MIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Medical Imaging, P.C. Diagnostic Radiology CurrentSince Nov 17, 1997 Accepting new patients
Family Orthopedic Associates P L C Past Accepting new patients
United Diagnostics PLLC Diagnostic Radiology Past Accepting new patients

Locations

1141 S State Rd
Ste 26
Davison, MI 48423
Phone (810) 658-4454

221 W Roberts St
Fenton, MI 48430
Phone (810) 629-4192

3346 Lennon Rd
Flint, MI 48507

3346 Lennon Rd
Ste 3
Flint, MI 48507

3346 Lennon Rd
Ste 2
Flint, MI 48507
Phone (810) 732-1994

5059 Villa Linde Pkwy
Ste 25
Flint, MI 48532
Phone (810) 732-8870

5059 Villa Linde Pkwy
Flint, MI 48532
Phone (810) 658-4454

2486 Nerredia St
Ste A
Flint, MI 48532
Phone (810) 720-1600

8483 Holly Rd
Grand Blanc, MI 48439
Phone (810) 694-4107

1794 N Lapeer Rd
Ste B
Lapeer, MI 48446
Phone (810) 245-5290

Interoperability endpoints

  • Direct secure messaging: jmitchinson1141831@direct.hfhs.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1467474635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3346 LENNON ROAD",
            "address_2": "SUITE 2",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071015",
            "telephone_number": "810-732-1919",
            "fax_number": "810-732-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3346 LENNON ROAD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071015",
            "telephone_number": "810-732-1919",
            "fax_number": "810-732-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHINSON",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301055030",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301055030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.