Individual provider Active NPI

Michael Dean Wilson, MD

  • Diagnostic Radiology Physician
  • Cleveland, OH
National Provider Identifier
1568652147
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35098953 Issued in OH
Practice address
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone
(216) 778-7800
NPI assigned
Jul 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2024014263 MO
Diagnostic Radiology Physician 2085R0202X 35098953 OH Primary
Diagnostic Radiology Physician 2085R0202X MC-194 GU
Diagnostic Radiology Physician 2085R0202X 41027 AZ
Diagnostic Radiology Physician 2085R0202X 4301082426 MI
Diagnostic Radiology Physician 2085R0202X 20530 ND
Diagnostic Radiology Physician 2085R0202X 16471C WY

Addresses

Primary practice location

2500 Metrohealth Dr
Cleveland, OH 44109-1900

Mailing address

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (419) 251-4340

Other practice location 1

2305 37th Ave SW
Minot, ND 58701-7669
Phone (701) 418-8000

Other practice location 2

6000 Hospital Dr
Hannibal, MO 63401-6887
Phone (573) 248-5301

Other identifiers 3

IdentifierTypeStateIssuer
35-098953OtherOHOHIO MEDICAL LICENSE
378616MedicaidAZ
0067456MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mwilson114862@direct.metrohealth.org
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, GU, SC, ND, CT, IA, WY, NC, MO, GA, IL11 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 11

Enrollment IDStateProvider typePAC IDDetails
I20120809000789 OH Practitioner - Diagnostic Radiology 3577638204 Reassigns benefits to 17 organizations
I20240319003399 GU Practitioner - Diagnostic Radiology 3577638204 Reassigns benefits to 3 organizations
I20240419002805 SC Practitioner - Diagnostic Radiology 3577638204 Reassigns benefits to 2 organizations
I20240507004649 ND Practitioner - Diagnostic Radiology 3577638204 Reassigns benefits to 1 organization
I20240513001472 CT Practitioner - Diagnostic Radiology 3577638204 Reassigns benefits to 1 organization
I20240528001774 IA Practitioner - Diagnostic Radiology 3577638204 Reassigns benefits to 1 organization
I20240730002094 WY Practitioner - Diagnostic Radiology 3577638204 Reassigns benefits to 2 organizations
I20241028001889 NC Practitioner - Diagnostic Radiology 3577638204 Reassigns benefits to 3 organizations
I20241108001888 MO Practitioner - Diagnostic Radiology 3577638204 Reassigns benefits to 1 organization
I20250222000070 GA Practitioner - Diagnostic Radiology 3577638204 Reassigns benefits to 1 organization
I20250926003136 IL Practitioner - Diagnostic Radiology 3577638204

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, shared by 17 NPIs, 1,060 clinicians
Trinity HealthGroup PAC ID 7911816020, 292 clinicians
McFarland Clinic PCGroup PAC ID 1254244239, 353 clinicians
Regional West Medical CenterGroup PAC ID 1759285885, 66 clinicians
Great Plains Radiology LLCGroup PAC ID 2062310899, 39 clinicians
Southern Radiology Associates PLLCGroup PAC ID 7214913649, 41 clinicians
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians
Lima Radiological AssociatesGroup PAC ID 9931003977, 50 clinicians
Guam Memorial HospitalGroup PAC ID 5890781694, 132 clinicians

Practice addresses (Care Compare)

101 E Wood St
Spartanburg, SC 29303-3040

133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500

1401 W 5TH St
Sheridan, WY 82801-2705
Phone (307) 672-1000

2305 37TH Ave SW
Minot, ND 58701-7669
Phone (701) 418-8000

3962 Timber Valley Dr
Maumee, OH 43537-8833
Phone (515) 239-4456

500 Jefferson St
Whiteville, NC 28472-3634
Phone (910) 642-8011

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 610-4172

730 W Market St
Lima, OH 45801-4602
Phone (419) 226-9023

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3128
Phone (671) 647-2552

PO Box
Suite 1257
Hannibal, MO 63401-1257
Phone (573) 248-5460

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41027AZMDDiagnostic Radiology Physician
MC-194GUMDDiagnostic Radiology Physician
4301082426MIMDDiagnostic Radiology Physician
2024014263MOMDDiagnostic Radiology Physician
20530NDMDDiagnostic Radiology Physician
35098953OHMDDiagnostic Radiology Physician
16471CWYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Diagnostic Radiology CurrentSince Mar 2, 2024 Accepting new patients
Tidewater Physicians Multispecialty Group PC Diagnostic Radiology Current Accepting new patients
Lima Radiological Associates Diagnostic Radiology CurrentSince Jul 18, 2024 Accepting new patients
Big Horn Health Network CurrentSince Apr 1, 2025 Accepting new patients
Memorial Hospital of Sheridan County CurrentSince Aug 1, 2024 Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
Hegg Memorial Hospital Current Accepting new patients
Trinity Health CurrentSince Mar 25, 2024 Accepting new patients
Regional West Medical Center Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Feb 24, 2024 Accepting new patients
Trinity Health Current Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Dec 1, 2024 Accepting new patients
East Georgia Radiology LLC Diagnostic Radiology CurrentSince Feb 26, 2025 Accepting new patients
Valley Radiology P a Diagnostic Radiology CurrentSince Sep 17, 2024 Accepting new patients
Guam Memorial Hospital CurrentSince Oct 27, 2024 Accepting new patients
Lumina Imaging Diagnostic Radiology CurrentSince Jan 1, 2021 Accepting new patients
Trinity Health CurrentSince Mar 25, 2024 Accepting new patients
McFarland Clinic PC CurrentSince Dec 15, 2024 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Southern Radiology Associates, PLLC Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Cumberland County Hospital System Inc Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Avera McKennan Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Phoebe Physician Group, Inc CurrentSince Dec 16, 2024 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Apr 3, 2024 Accepting new patients
The Metrohealth System CurrentSince Jan 26, 2016 Accepting new patients
Guam Memorial Hospital CurrentSince Oct 27, 2024 Accepting new patients
Columbus Regional Healthcare System CurrentSince Sep 6, 2025 Accepting new patients
Grand Island Radiology Associates PC Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Allen Memorial Hospital Corporation Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Memorial Hospital of Sheridan County CurrentSince Aug 1, 2024 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Great Plains Radiology LLC Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Hannibal Regional Healthcare System Inc CurrentSince Nov 1, 2024 Accepting new patients
Guam X-Ray Diagnostic Radiology CurrentSince Feb 6, 2024 Accepting new patients
Spartanburg Medical Center Diagnostic Radiology CurrentSince Mar 12, 2024 Accepting new patients
Lucidsolutions, Inc. Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
The Metrohealth System Diagnostic Radiology CurrentSince Jan 26, 2016 Accepting new patients
Lambert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Jul 7, 2025 Accepting new patients
Hegg Memorial Hospital CurrentSince May 1, 2024 Accepting new patients
Central Illinois Radiological Associates, LTD. Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Apr 3, 2024 Accepting new patients
Radiologic Medical Services PC Diagnostic Radiology CurrentSince Sep 27, 2024 Accepting new patients
Scotland Memorial Hospital Inc Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Columbus Regional Healthcare System CurrentSince Sep 6, 2025 Accepting new patients
Hegg Memorial Hospital CurrentSince May 1, 2024 Accepting new patients
Spartanburg Medical Center CurrentSince Mar 2, 2024 Accepting new patients
Barbara Ann Karmanos Cancer Institute Past Accepting new patients
Simonmed Imaging, Incorporated Diagnostic Radiology Past Accepting new patients
Barbara Ann Karmanos Cancer Institute Past Accepting new patients
Oak Creek Imaging Diagnostic Radiology Past Accepting new patients
Cira Michigan PC Diagnostic Radiology Past Accepting new patients
Tidewater Physicians Multispecialty Group PC Past Accepting new patients

Locations (25 of 35)

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

201 Chestnut Hill Rd
Stafford Springs, CT 06076
Phone (860) 265-6521

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555

850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552

633 Gov Carlos G Camacho Rd
Ste 210
Tamuning, GU 96913
Phone (671) 649-1001

1215 Duff Ave
Ames, IA 50010
Phone (515) 239-4400

2771 Oakdale Blvd
Ste 3
Oakdale, IA 52241
Phone (319) 545-7310

1202 21st Ave
Rock Valley, IA 51247
Phone (712) 476-8000

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

5200 Reliable Pkwy
Chicago, IL 60686
Phone (309) 671-8748

5900 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-3060

2720 Dundee Rd
Northbrook, IL 60062
Phone (224) 226-5222

6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460

6000 Hospital Dr
#1257
Hannibal, MO 63401
Phone (573) 248-5460

3186 Village Dr
Ste 201
Fayetteville, NC 28304
Phone 9104865700104

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776

101 3rd Ave SW
Minot, ND 58701
Phone (701) 857-5286

2305 37th Ave SW
Minot, ND 58701
Phone (701) 418-8550

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

4229 Pearl Rd
Cleveland, OH 44109
Phone (216) 459-6300

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
  • Direct secure messaging: mwilson2957134@carolinashealthcaresystem.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD
  • Direct secure messaging: mwilson1092406@direct.unitypoint.org

Organizations & group practices 53

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.

View all 53

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": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1568652147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 METROHEALTH DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091900",
            "telephone_number": "419-251-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 METROHEALTH DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091900",
            "telephone_number": "216-778-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 37th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587017669",
            "country_code": "US",
            "telephone_number": "701-418-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016887",
            "country_code": "US",
            "telephone_number": "573-248-5301",
            "fax_number": "573-248-5302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MICHAEL",
        "middle_name": "DEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2024014263",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35098953",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GU",
            "license": "MC-194",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "41027",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301082426",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ND",
            "license": "20530",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WY",
            "license": "16471C",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO MEDICAL LICENSE",
            "identifier": "35-098953",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378616",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0067456",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwilson114862@direct.metrohealth.org",
            "affiliation": "N",
            "address_1": "2500 Metrohealth Dr",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441091900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.