Individual provider Active NPI

Dilraj Singh Ghumman, M.D.

  • Diagnostic Radiology Physician
  • Pontiac, MI
National Provider Identifier
1720257553
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301087925 Issued in MI
Practice address
44405 Woodward Ave
Pontiac, MI 48341-5023
Phone
(248) 858-3000
NPI assigned
Feb 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301087925 MI Primary

Addresses

Primary practice location

44405 Woodward Ave
Pontiac, MI 48341-5023

Mailing address

44405 Woodward Ave
Pontiac, MI 48341-5023
Phone (248) 858-3000

Other identifiers 1

IdentifierTypeStateIssuer
4301087925OtherMIEDUCATIONAL LIMITED LICEN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120827000721 MI Practitioner - Diagnostic Radiology 7810144821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Medical Imaging PCGroup PAC ID 4688637697, 22 clinicians

Practice addresses (Care Compare)

1141 S State Rd
Davison, MI 48423-1964
Phone (810) 658-4454

15300 Trenton Rd
Southgate, MI 48195-2027
Phone (734) 281-6600

1605 US Hwy 131
Petoskey, MI 49770-8783
Phone (810) 732-1919

1794 N Lapeer Rd B
Lapeer, MI 48446-7664
Phone (810) 732-1919

221 W Roberts St
Fenton, MI 48430-2634
Phone (810) 629-4192

24285 Karim Blvd
Novi, MI 48375-2952
Phone (810) 732-1919

26454 Woodward Ave
Suite 100
Royal Oak, MI 48067-0969
Phone (810) 732-1919

5059 Villa Linde Pkwy
Suite 25
Flint, MI 48532-3438
Phone (810) 732-8870

6140 Foxfire Cir
Clarkston, MI 48346-1658
Phone (810) 732-1919

8483 Holly Rd
Grand Blanc, MI 48439-1840
Phone (810) 694-8201

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Medical Imaging, P.C. Diagnostic Radiology CurrentSince Jul 9, 2012 Accepting new patients
United Diagnostics PLLC Diagnostic Radiology Past Accepting new patients

Locations

3346 Lennon Rd
Ste 3
Flint, MI 48507

3346 Lennon Rd
Ste 2
Flint, MI 48507
Phone (810) 732-1994

5059 Villa Linde Pkwy
Ste 25
Flint, MI 48532
Phone (810) 732-8870

5059 Villa Linde Pkwy
Flint, MI 48532
Phone (810) 658-4454

Interoperability endpoints

  • Direct secure messaging: dghumman1129929@direct.hfhs.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1720257553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44405 WOODWARD AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415023",
            "telephone_number": "248-858-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44405 WOODWARD AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415023",
            "telephone_number": "248-858-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHUMMAN",
        "first_name": "DILRAJ",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301087925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDUCATIONAL LIMITED LICEN",
            "identifier": "4301087925",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.