Organization Active NPI

Michigan Imaging Group, P.C.

  • Cardiovascular Disease Physician
  • Sterling Heights, MI
National Provider Identifier
1619089661
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MICHIGAN IMAGING GROUP, P.C.
Practice address
38600 Van Dyke Ave
Suite 140
Sterling Heights, MI 48312-1170
Phone
(586) 323-0400
Fax
(586) 323-3761
NPI assigned
Aug 31, 2006
Last updated
Nov 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Authorized official

Name
Dr. Leonard A. Bayer, D.O.NPI 1174549562
Title
Managing Partner
Phone
(586) 323-0400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

38600 Van Dyke Ave
Suite 140
Sterling Heights, MI 48312-1170

Mailing address

PO Box 727
Sterling Heights, MI 48311-0727
Phone (586) 991-0883

Other identifiers 1

IdentifierTypeStateIssuer
700E012490OtherMIBC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050112001068 MI Part B Supplier - Clinic/Group Practice 4284683624 Receives reassigned benefits from 3 practitioners
Practice locations: Sterling Heights, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1619089661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483110727",
            "telephone_number": "586-991-0883",
            "fax_number": "586-991-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38600 VAN DYKE AVE",
            "address_2": "SUITE 140",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483121170",
            "telephone_number": "586-323-0400",
            "fax_number": "586-323-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN IMAGING GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "BAYER",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "586-323-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "700E012490",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.