Individual provider Active NPI

Michael Glenn Myers, MD

  • Diagnostic Radiology Physician
  • San Jose, CA
National Provider Identifier
1558322180
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G52631 Issued in CA
Practice address
6496 Deer Hollow Dr
San Jose, CA 95120-1634
Phone
(888) 318-8900
NPI assigned
Mar 31, 2006
Last updated
Mar 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 224686-01 NY
Diagnostic Radiology Physician 2085R0202X G52631 CA Primary

Addresses

Primary practice location

6496 Deer Hollow Dr
San Jose, CA 95120-1634

Mailing address

6496 Deer Hollow Dr
San Jose, CA 95120-1634
Phone (888) 318-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY, MD, DC, FL5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20160301001626 CA Practitioner - Diagnostic Radiology 2860797784 Reassigns benefits to 2 organizations
I20220314000270 NY Practitioner - Diagnostic Radiology 2860797784 Reassigns benefits to 2 organizations
I20230111002730 MD Practitioner - Diagnostic Radiology 2860797784 Reassigns benefits to 3 organizations
I20230711001098 DC Practitioner - Diagnostic Radiology 2860797784 Reassigns benefits to 1 organization
I20251023004959 FL Practitioner - Diagnostic Radiology 2860797784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Eastpointe Radiologists PCGroup PAC ID 7618876327, 112 clinicians
Jamaica HospitalGroup PAC ID 2264324334, 252 clinicians
Blackwell Physicians, LLCGroup PAC ID 2163810383, 67 clinicians

Practice addresses (Care Compare)

1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000

15455 Via Los Tulares
Carmel Valley, CA 93924-9687
Phone (904) 399-5550

2401 W Belvedere Ave
LBH Medical Group Teleradiology
Baltimore, MD 21215-5216
Phone (410) 601-9000

6496 Deer Hollow Dr
San Jose, CA 95120-1634
Phone (586) 464-0731

8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-6000

9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (240) 826-6074

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.19 of 100Reported as group
Quality
82.16
Promoting interoperability
79
Improvement activities
40
Cost
75.98

Merit-based Incentive Payment System (MIPS)

Final score
83.23 of 100Reported as group
Quality
60.26
Promoting interoperability
100
Improvement activities
40
Cost
76.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52631CAMDGeneral Practice Dentistry
G52631CAMDDiagnostic Radiology Physician
224686-01NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Community Physicians Inc Diagnostic Radiology CurrentSince Dec 12, 2022 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Lifebridge Community Physicians, Inc Current Accepting new patients
TJH Medical Services, P.C. Family Medicine CurrentSince Mar 10, 2024 Accepting new patients
Adventist Physician Services, Inc. CurrentSince Jul 2, 2025 Accepting new patients
Jamaica Hospital CurrentSince Mar 1, 2022 Accepting new patients
Professional Services of Holy Cross CurrentSince May 28, 2023 Accepting new patients
Professional Services of Holy Cross CurrentSince May 28, 2023 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Dec 12, 2022 Accepting new patients
Jamaica Hospital CurrentSince Mar 1, 2022 Accepting new patients
Eastpointe Radiologists, P.C. Diagnostic Radiology CurrentSince Jan 23, 2024 Accepting new patients
Blackwell Physicians, LLC Diagnostic Radiology CurrentSince Jul 2, 2025 Accepting new patients
Sheridan Radiology Services of West Florida, Inc. Diagnostic Radiology Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Valley Radiology Medical Associates, Inc. Past Accepting new patients
Eastpointe Radiologists, PC Diagnostic Radiology Past Accepting new patients
Valley Radiologist Medical Associates Diagnostic Radiology Past Accepting new patients
Universal Radiology Consultants PC Diagnostic Radiology PastSince Aug 12, 2017 Accepting new patients
Radiology of MSMC, LLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 28)

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

2401 W Belvedere Ave
Baltimore, MD 21215

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

19731 Germantown Rd
Ste 102
Germantown, MD 20874
Phone (301) 444-8700

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

9601 Blackwell Rd
Ste 150
Rockville, MD 20850
Phone (240) 864-1100

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

36750 26 Mile Rd
Chesterfield, MI 48047
Phone (586) 879-2000

51307 Gratiot Ave
Chesterfield, MI 48051
Phone (586) 741-3772

43900 Garfield Rd
Ste 222
Clinton Twp, MI 48038
Phone (586) 263-1234

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

17141 Kercheval Ave
Grosse Pointe, MI 48230
Phone (313) 642-4980

17700 23 Mile Rd
Macomb, MI 48044
Phone (586) 416-7500

46591 Romeo Plank Rd
Macomb, MI 48044
Phone (586) 226-6269

46591 Romeo Plank Rd
Ste 220
Macomb, MI 48044
Phone (586) 226-6170

13350 24 Mile Rd
Ste 200
Shelby Township, MI 48315
Phone (586) 566-7100

21000 E 12 Mile Rd
St Clr Shores, MI 48081
Phone (586) 447-5000

64580 Van Dyke Rd
Ste C
Washington Township, MI 48095
Phone (586) 752-9483

4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: mmyers1142565@direct.hfhs.org

Organizations & group practices 19

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 19

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1558322180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6496 DEER HOLLOW DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951201634",
            "telephone_number": "888-318-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6496 DEER HOLLOW DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951201634",
            "telephone_number": "888-318-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "MICHAEL",
        "middle_name": "GLENN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "224686-01",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G52631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.