NPIMap

Organization Active NPI

Eastpointe Radiologists, PC

Doing business as Grosse Pointe Physicians Xray Center, PC

  • Diagnostic Radiology Physician
  • Grosse Pointe Woods, MI
National Provider Identifier
1558409649
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
EASTPOINTE RADIOLOGISTS, PC
Doing business as
Grosse Pointe Physicians Xray Center, PC
Practice address
21003 Mack Ave
Grosse Pointe Woods, MI 48236-1333
Phone
(313) 881-0411
Fax
(313) 881-3099
NPI assigned
Feb 2, 2007
Last updated
Apr 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Anthony Hamame, M.D.NPI 1184872327
Title
President
Phone
(586) 741-3772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X NU
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

21003 Mack Ave
Grosse Pointe Woods, MI 48236-1333

Mailing address

21003 Mack Ave
Grosse Pointe Woods, MI 48236-1333
Phone (586) 741-3772

Other identifiers 10

IdentifierTypeStateIssuer
300H261880OtherMIBCN ADVANTAGE
320433OtherMIULTICARE HMO OF MICHIGAN
506044OtherMICARE CHOICES HMO
SJ820005OtherMIM-CARE SENIOR
0H26188OtherMIBCBS OF MICHIGAN
SJ820005OtherMIM-CARE
0H26188OtherMIFEDERAL BLACK LUNG
1111920004OtherMIWELLNESS PLAN OF MICHIGAN
495680OtherMIHEALTH ALLIANCE PLAN
C20438OtherMIRAILROAD MEDICARE

Other names 1

  • Grosse Pointe Physicians Xray Center, PC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031231000704 MI Part B Supplier - Clinic/Group Practice 7618876327 Receives reassigned benefits from 38 practitioners
1 other NPI on this enrollment
Practice locations: Grosse Pointe Shores, MI; Oakland Township, MI; Grosse Pointe Woods, MI; Livonia, MI; Macomb, MI; Madison Heights, MI; Saint Clair Shores, MI; Shelby Township, MI…

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

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

36175 Harper Ave
Clinton Twp, MI 48035
Phone (586) 741-3772

Practitioners & affiliated clinicians

Practitioners 264

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 264

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1558409649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21003 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361333",
            "telephone_number": "586-741-3772",
            "fax_number": "586-741-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21003 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361333",
            "telephone_number": "313-881-0411",
            "fax_number": "313-881-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTPOINTE RADIOLOGISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "HAMAME",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-741-3772",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN ADVANTAGE",
            "identifier": "300H261880",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ULTICARE HMO OF MICHIGAN",
            "identifier": "320433",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES HMO",
            "identifier": "506044",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE SENIOR",
            "identifier": "SJ820005",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "0H26188",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE",
            "identifier": "SJ820005",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "0H26188",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLNESS PLAN OF MICHIGAN",
            "identifier": "1111920004",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "495680",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C20438",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grosse Pointe Physicians Xray Center, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.