NPIMap

Individual provider Active NPI

Michael Lee Brooks, M.D.

  • Diagnostic Radiology Physician
  • Darby, PA
National Provider Identifier
1477547305
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35.140341 Issued in OH
Practice address
1500 Lansdowne Ave
Department of Radiology Mercy Fitgerald Hospital
Darby, PA 19023-1200
Phone
(610) 237-4355
Fax
(610) 237-2599
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X MD-026080-E PA
Diagnostic Radiology Physician 2085R0202X 35.140341 OH Primary

Addresses

Primary practice location

1500 Lansdowne Ave
Department of Radiology Mercy Fitgerald Hospital
Darby, PA 19023-1200

Mailing address

27 Clayburgh Rd
Thornton, PA 19373-1103
Phone (610) 455-0591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV, OH3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040303000920 PA Practitioner - Diagnostic Radiology 0244127298 Reassigns benefits to 4 organizations
I20220325002272 WV Practitioner - Diagnostic Radiology 0244127298
I20260316000484 OH Practitioner - Diagnostic Radiology 0244127298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Hahnemann University College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somc Medical Care Foundation, Inc.Group PAC ID 9436061645, 388 clinicians
Lucidsolutions IncGroup PAC ID 0749603462, 84 clinicians
Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians

Practice addresses (Care Compare)

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

623 Sugartown Rd
Malvern, PA 19355-3303
Phone (614) 340-7740

Hospital & facility affiliations

  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Ohiohealth Mansfield Hospital Hospital, Mansfield, OH, CCN 360118
  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039
  • Dublin Methodist Hospital Hospital, Dublin, OH, CCN 360348
  • Marietta Memorial Hospital Hospital, Marietta, OH, CCN 360147

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-026080-EPAMDNeuroradiology Physician
35.140341OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Care Foundation, Inc. Diagnostic Radiology CurrentSince Feb 12, 2026 Accepting new patients
Lucidsolutions, Inc. Neuroradiology CurrentSince Jul 1, 2020 Accepting new patients
Carelife Imaging, LLC CurrentSince Sep 1, 2021 Accepting new patients
Beloit Radiology LTD Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Mercy Diagnostic Imaging PC Diagnostic Radiology CurrentSince Jun 28, 1984 Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Sep 1, 2020 Accepting new patients
MRI Professionals Inc. Diagnostic Radiology Past Accepting new patients
East Norriton Physicians Services Past Accepting new patients

Locations

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

2000 Old West Chester Pike
Havertown, PA 19083
Phone (610) 536-2100

2701 DeKalb Pike
Norristown, PA 19401
Phone (215) 335-6000

501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046

Interoperability endpoints

  • Direct secure messaging: michael.brooks@mmhs.medicity.net

Organizations & group practices 9

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.

Hospital & facility affiliations 10

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1477547305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CLAYBURGH RD",
            "city": "THORNTON",
            "state": "PA",
            "postal_code": "193731103",
            "telephone_number": "610-455-0591",
            "fax_number": "610-455-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LANSDOWNE AVE",
            "address_2": "DEPARTMENT OF RADIOLOGY MERCY FITGERALD HOSPITAL",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231200",
            "telephone_number": "610-237-4355",
            "fax_number": "610-237-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "PA",
            "license": "MD-026080-E",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.140341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darby, PA

Sources for this page

Verify at the official NPI Registry.