Individual provider Active NPI

Gagandeep Singh Rawal, M.D

  • Diagnostic Radiology Physician
  • Flint, MI
National Provider Identifier
1518157478
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301088722 Issued in MI
Practice address
1 Hurley PLZ
Dep of Radiology
Flint, MI 48503
Phone
(810) 262-9828
NPI assigned
Jul 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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 4301088722 MI Primary

Addresses

Primary practice location

1 Hurley PLZ
Dep of Radiology
Flint, MI 48503

Mailing address

6481 Moonstone Dr
Grand Blanc, MI 48439-7811
Phone (320) 420-3657

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
I20100908000563 MI Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 8820112212 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaging Associates of Michigan PLLCGroup PAC ID 9537434386, 148 clinicians
Hurley Medical CenterGroup PAC ID 2961308481, 336 clinicians

Practice addresses (Care Compare)

1 Hurley PLZ
Flint, MI 48503-5902
Phone (810) 262-9000

1 Hurley PLZ
Flint, MI 48503-5993
Phone (810) 262-9866

Hospital & facility affiliations

  • Hurley Medical Center Hospital, Flint, MI, CCN 230132
  • Uphs Marquette DLP Hospital Hospital, Marquette, MI, CCN 230054
  • Up Health System Portage Hospital, Hancock, MI, CCN 230108
  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046
  • Baraga County Memorial Hospital Hospital, L' Anse, MI, CCN 231307

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Medical Center Current Accepting new patients
Premier Medical Clinics PC CurrentSince May 1, 2012 Accepting new patients
Hurley Medical Center Current Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince May 2, 2021 Accepting new patients
Hurley Medical Center CurrentSince Apr 1, 2020 Accepting new patients
Pathology Associates Inc PC Current Accepting new patients
Hurley Medical Center Diagnostic Radiology CurrentSince Apr 1, 2020 Accepting new patients
Hurley Medical Center Current Accepting new patients
Park Plaza Radiology, Inc Diagnostic Radiology Past Accepting new patients

Locations

710 S Lincoln Rd
Escanaba, MI 49829
Phone (906) 362-7546

1165 S Linden Rd
#A
Flint, MI 48532
Phone (810) 732-5400

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

1165 S Linden Rd
#B
Flint, MI 48532
Phone (810) 600-6300

850 W Baraga Ave
Marquette, MI 49855
Phone (906) 225-3595

Interoperability endpoints

  • Direct secure messaging: gsingh9906@direct.hurleymc.com

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 5

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": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1518157478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6481 MOONSTONE DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397811",
            "telephone_number": "320-420-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HURLEY PLZ",
            "address_2": "DEP OF RADIOLOGY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48503",
            "telephone_number": "810-262-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWAL",
        "first_name": "GAGANDEEP",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301088722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.