Active NPI
Michael R Povlow, MD
- Diagnostic Radiology Physician
- Fort Sam Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2023026198
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
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
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
- Ascension St Vincent Hospital
- Deaconess Medical Center
- Jersey Shore University Medical Center
- Multicare Valley Hospital
- Jersey City Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.93 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036176693 | IL | MD | Diagnostic Radiology Physician |
| 2023026198 | MO | MD | Diagnostic Radiology Physician |
| W0269 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imaging Associates of Indiana, PC | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Associates of Michigan PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Premier Radiology Wisconsin, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Alliance PC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Affiliates of Central New Jersey PC | Diagnostic Radiology | Current | Accepting new patients |
| Louisville Radiology Imaging Consultants, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| University Radiology Group, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Hillsborough Radiology Centers, LLC | Diagnostic Radiology | Current | Accepting new patients |
| University Radiology at Trinitas, LLC | Diagnostic Radiology | Current | Accepting new patients |
| University Radiology-Atlantic, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Specialists in Medical Imaging SC | Diagnostic Radiology | Current | Accepting new patients |
| University Radiology at Cooper, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Empire State Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| University of Texas Health Science Center at San Antonio | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Associates of New Mexico LLC | Diagnostic Radiology | Current | Accepting new patients |
| The University of Texas Health Science Center at San Antonio | Diagnostic Radiology | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Jersey Shore Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Wisconsin Radiology Specialists, S C | Current | Accepting new patients | |
| Multicare Health System | Current | 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 | Past | 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.
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
-
- Diagnostic Radiology Physician
- Mount Pleasant, WI
- NPI 1952951154
-
- Diagnostic Radiology Physician
- Olympia Fields, IL
- NPI 1841687951
TX
-
- Diagnostic Radiology Physician
- East Brunswick, NJ
- NPI 1154367803
MO, TX
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
dba UT Health Physicians
- Internal Medicine Physician
- San Antonio, TX
- NPI 1720051717
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Albuquerque, NM
- NPI 1629592464
TX
-
- Diagnostic Radiology Physician
- Neptune, NJ
- NPI 1538304019
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HMH Behavioral Health Home
- Clinic/Center
- Neptune, NJ
- NPI 1053880286
Hospital
-
dba Jersey Shore University Medical Center
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- Neptune City, NJ
- NPI 1962128496
Hospital
-
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1689744856
-
dba Jersey City Medical Center/AMB
- Ambulance
- Jersey City, NJ
- NPI 1871738021
Hospital
-
dba MultiCare Deaconess Hospital
- General Acute Care Hospital
- Spokane, WA
- NPI 1356528269
-
dba MultiCare Valley Hospital
- General Acute Care Hospital
- Spokane Valley, WA
- NPI 1538345251
-
dba Ascension St. Vincent Hospital
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1306898960
-
dba Ascension St. Vincent - Avon
- General Acute Care Hospital
- Avon, IN
- NPI 1851833230
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.