Individual provider Active NPI

David S Harnadek, MD

  • Diagnostic Radiology Physician
  • Grosse Pointe, MI
National Provider Identifier
1730134776
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301030959 Issued in MI
Practice address
468 Cadleux Road
Grosse Pointe, MI 48230
Phone
(313) 343-1630
Fax
(313) 343-1665
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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 4301030959 MI Primary

Addresses

Primary practice location

468 Cadleux Road
Grosse Pointe, MI 48230

Mailing address

PO Box 1108
Attn: Barb Simmons
Ann Arbor, MI 48106-1108
Phone (313) 343-1630

Other identifiers 2

IdentifierTypeStateIssuer
CB6220OtherMIMEDICARE RR GRP PIN
4187516MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301030959MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Macomb Diagnostic Imaging Center Inc Diagnostic Radiology Past Accepting new patients
Dr L Reynolds Assoc PC Past Accepting new patients
Macomb Magnetic Resonance Imaging Center Inc Diagnostic Radiology Past Accepting new patients
Beaumont Special Radiological Procedures Diagnostic Radiology Past Accepting new patients

Organizations & group practices 4

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1730134776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1108",
            "address_2": "ATTN: BARB SIMMONS",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481061108",
            "telephone_number": "313-343-1630",
            "fax_number": "313-343-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 CADLEUX ROAD",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "48230",
            "telephone_number": "313-343-1630",
            "fax_number": "313-343-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARNADEK",
        "first_name": "DAVID",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301030959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR GRP PIN",
            "identifier": "CB6220",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4187516",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.