Individual provider Active NPI

Michael R Povlow, MD

  • Diagnostic Radiology Physician
  • Fort Sam Houston, TX
National Provider Identifier
1598266884
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2023026198 Issued in MO
Practice address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone
(210) 916-0974
NPI assigned
Feb 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036176693 IL
Diagnostic Radiology Physician 2085R0202X W0269 TX
Diagnostic Radiology Physician 2085R0202X 2023026198 MO Primary

Addresses

Primary practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Mailing address

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (210) 266-2158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, MO, TX, WI, WA5 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
I20230816001733 NJ Practitioner - Diagnostic Radiology 7517329949 Reassigns benefits to 6 organizations
I20230913003006 MO Practitioner - Diagnostic Radiology 7517329949 Reassigns benefits to 1 organization
I20250807004498 TX Practitioner - Diagnostic Radiology 7517329949 Reassigns benefits to 13 organizations
I20251209001260 WI Practitioner - Diagnostic Radiology 7517329949 Reassigns benefits to 1 organization
I20260101000407 WA Practitioner - Diagnostic Radiology 7517329949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Univ of Central Florida, College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Radiology Group LLCGroup PAC ID 6608868500, 239 clinicians
Premier Radiology Wisconsin LLCGroup PAC ID 9537595533, 111 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians

Practice addresses (Care Compare)

100 Creek View Dr
Saint Robert, MO 65584-9524
Phone (732) 390-0040

10180 Washington Ave
Mount Pleasant, WI 53177-1604
Phone (414) 973-7830

1043 W Main St
Freehold, NJ 07728-2538
Phone (732) 462-1900

1110 N Sarah Dewitt Dr
Gonzales Health System
Gonzales, TX 78629-3311
Phone (830) 672-7581

300 E 5TH Ave
Spokane, WA 99202-1334

311 S L St
Tacoma, WA 98405-3720

400 E 5TH Ave
Spokane, WA 99202-1334
Phone (509) 838-2531

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

483 Cranbury Rd
East Brunswick, NJ 08816-3610
Phone 73239000402022

5467 Statesman LN
Frisco, TX 75034-3626
Phone (309) 671-8282

68 Spring Lake Dr
San Antonio, TX 78248-2438
Phone (888) 316-3880

8 Ancient BND
San Antonio, TX 78248-1637
Phone (615) 312-0600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.93 of 100Reported as group
Quality
95.96
Improvement activities
40
Cost
73.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036176693ILMDDiagnostic Radiology Physician
2023026198MOMDDiagnostic Radiology Physician
W0269TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince Feb 24, 2026 Accepting new patients
Premier Radiology Wisconsin, LLC Diagnostic Radiology CurrentSince Nov 26, 2025 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Oct 2, 2025 Accepting new patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology CurrentSince Feb 10, 2026 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Aug 23, 2025 Accepting new patients
University Radiology Group, LLC Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Hillsborough Radiology Centers, LLC Diagnostic Radiology Current Accepting new patients
University Radiology at Trinitas, LLC Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
University Radiology-Atlantic, LLC Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Specialists in Medical Imaging SC Diagnostic Radiology CurrentSince Aug 22, 2025 Accepting new patients
University Radiology at Cooper, LLC Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Aug 15, 2025 Accepting new patients
University of Texas Health Science Center at San Antonio Diagnostic Radiology CurrentSince Nov 15, 2025 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
The University of Texas Health Science Center at San Antonio Diagnostic Radiology CurrentSince Nov 15, 2025 Accepting new patients
Multicare Health System CurrentSince Dec 3, 2025 Accepting new patients
Jersey Shore Imaging, LLC Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Wisconsin Radiology Specialists, S C CurrentSince Nov 26, 2025 Accepting new patients
Multicare Health System CurrentSince Dec 3, 2025 Accepting new patients
Radiology Associates of Canton, Inc. Diagnostic Radiology Past Accepting new patients
University of Texas Health Science Center at San Antonio Past Accepting new patients
Synergy Radiology Associates PLLC Past Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients
Central Jersey Radiologists Diagnostic Radiology Past Accepting new patients
Progressive Physician Assoc Inc Diagnostic Radiology PastSince Mar 1, 2022 Accepting new patients

Locations (25 of 51)

1937 Momentum Pl
Chicago, IL 60689

1 Robertson Dr
Ste 16
Bedminster, NJ 07921
Phone (908) 234-0205

33 Monroe St
Bridgewater, NJ 08807
Phone (908) 725-1291

2339 Route 70 W
Cherry Hill, NJ 08002
Phone (856) 406-4080

483 Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

579A Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

3900 Park Ave
Ste 107
Edison, NJ 08820
Phone (732) 546-6800

415 Morris Ave
Elizabeth, NJ 07208
Phone (908) 351-7600

500 Grand Ave
Englewood, NJ 07631
Phone (201) 541-0440

833 Lacey Rd
Forked River, NJ 08731
Phone (609) 242-2334

1043 W Main St
Freehold, NJ 07728
Phone (732) 462-1900

375 US Highway 206
Hillsborough, NJ 08844

210 W Saint Georges Ave
Linden, NJ 07036
Phone (908) 486-1111

2315 Route 34
Ste C
Manasquan, NJ 08736
Phone (732) 974-0404

2130 Millburn Ave
Ste A8
Maplewood, NJ 07040
Phone (732) 383-4166

111 Union Valley Rd
Monroe Twp, NJ 08831
Phone (609) 395-3470

10 Plum St
New Brunswick, NJ 08901
Phone (732) 235-6333

235 Franklin Ave
Nutley, NJ 07110
Phone (973) 235-9090

3822 River Rd
Point Pleasant Boro, NJ 08742
Phone (732) 701-4848

699 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 836-2500

48 N Gilbert St
Tinton Falls, NJ 07701
Phone (732) 530-5750

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

8881 State Route 97
Callicoon, NY 12723
Phone (845) 333-6800

Organizations & group practices 30

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 30

Hospital & facility affiliations 9

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": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1598266884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-266-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POVLOW",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-22",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036176693",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "W0269",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2023026198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sam Houston, TX

Sources for this page

Verify at the official NPI Registry.