Active NPI
Michael Dean Wilson, MD
- Diagnostic Radiology Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35098953
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35-098953 | Other | OH | OHIO MEDICAL LICENSE |
| 378616 | Medicaid | AZ | |
| 0067456 | Medicaid | OH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 11
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Spartanburg Medical Center
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
| License | State | Type | Specialty |
|---|---|---|---|
| 41027 | AZ | MD | Diagnostic Radiology Physician |
| MC-194 | GU | MD | Diagnostic Radiology Physician |
| 4301082426 | MI | MD | Diagnostic Radiology Physician |
| 2024014263 | MO | MD | Diagnostic Radiology Physician |
| 20530 | ND | MD | Diagnostic Radiology Physician |
| 35098953 | OH | MD | Diagnostic Radiology Physician |
| 16471C | WY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spartanburg Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Tidewater Physicians Multispecialty Group PC | Diagnostic Radiology | Current | Accepting new patients |
| Lima Radiological Associates | Diagnostic Radiology | Current | Accepting new patients |
| Big Horn Health Network | Current | Accepting new patients | |
| Memorial Hospital of Sheridan County | Current | Accepting new patients | |
| Riverside Radiology and Interventional Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Hegg Memorial Hospital | Current | Accepting new patients | |
| Trinity Health | Current | Accepting new patients | |
| Regional West Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Guam Healthcare Development Incorporated | Current | Accepting new patients | |
| Trinity Health | Current | Accepting new patients | |
| Scotland Memorial Hospital Inc | Current | Accepting new patients | |
| East Georgia Radiology LLC | Diagnostic Radiology | Current | Accepting new patients |
| Valley Radiology P a | Diagnostic Radiology | Current | Accepting new patients |
| Guam Memorial Hospital | Current | Accepting new patients | |
| Lumina Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Trinity Health | Current | Accepting new patients | |
| McFarland Clinic PC | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Southern Radiology Associates, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Cumberland County Hospital System Inc | Diagnostic Radiology | Current | Accepting new patients |
| Avera McKennan | Diagnostic Radiology | Current | Accepting new patients |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| Guam Memorial Hospital | Current | Accepting new patients | |
| Columbus Regional Healthcare System | Current | Accepting new patients | |
| Grand Island Radiology Associates PC | Diagnostic Radiology | Current | Accepting new patients |
| Allen Memorial Hospital Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Memorial Hospital of Sheridan County | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Great Plains Radiology LLC | Diagnostic Radiology | Current | Accepting new patients |
| Hannibal Regional Healthcare System Inc | Current | Accepting new patients | |
| Guam X-Ray | Diagnostic Radiology | Current | Accepting new patients |
| Spartanburg Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Lucidsolutions, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| The Metrohealth System | Diagnostic Radiology | Current | Accepting new patients |
| Lambert Radiology Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Hegg Memorial Hospital | Current | Accepting new patients | |
| Central Illinois Radiological Associates, LTD. | Diagnostic Radiology | Current | Accepting new patients |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Radiologic Medical Services PC | Diagnostic Radiology | Current | Accepting new patients |
| Scotland Memorial Hospital Inc | Diagnostic Radiology | Current | Accepting new patients |
| Columbus Regional Healthcare System | Current | Accepting new patients | |
| Hegg Memorial Hospital | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | 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
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
- mwilson2957134@carolinashealthcaresystem.direct-ci.com
- https://fhir4.healow.com/fhir/r4/BGFHDD
- 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.
-
- Diagnostic Radiology Physician
- Lima, OH
- NPI 1497715361
-
- Emergency Medicine Physician
- Waterloo, IA
- NPI 1346292521
Diagnostic Radiology, OH
-
- General Acute Care Hospital
- Whiteville, NC
- NPI 1376537555
-
- Diagnostic Radiology Physician
- Fayetteville, NC
- NPI 1962299743
OH
-
- Clinic/Center
- Dededo, GU
- NPI 1326447939
-
- General Acute Care Hospital
- Oka Tamuning, GU
- NPI 1366519027
-
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1003956095
-
- General Acute Care Hospital
- Sheridan, WY
- NPI 1487707188
-
- Emergency Medicine Physician
- Scottsbluff, NE
- NPI 1982718219
Diagnostic Radiology, OH
-
- Vascular Surgery Physician
- Laurinburg, NC
- NPI 1477791507
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Lima, OH
- NPI 1447276936
-
- General Acute Care Hospital
- Lima, OH
- NPI 1811939887
-
- General Acute Care Hospital
- Dededo, GU
- NPI 1194159525
-
- General Acute Care Hospital
- Ames, IA
- NPI 1477539492
-
- General Acute Care Hospital
- Columbia, TN
- NPI 1861479545
-
- Psychiatric Hospital Unit
- Spartanburg, SC
- NPI 1033681630
-
- General Acute Care Hospital
- Spartanburg, SC
- NPI 1609807122
-
- Rehabilitation Hospital Unit
- Spartanburg, SC
- NPI 1942772546
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.