Radiant Vascular Institute PC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

RADIANT VASCULAR INSTITUTE PC

Practice address

25500 Meadowbrook Rd Ste 115
Novi, MI 48375-1879

Phone

(616) 206-3551

NPI assigned

Jul 21, 2025

Last updated

Nov 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mitchell Ermentrout

Title

Managing Partner

Phone

(616) 206-3551

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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.

• Robert Mitchell Ermentrout, M.D.

  • Vascular & Interventional Radiology Physician
  • Athens, GA
  • NPI 1124345376

  MI

  Medicare reassignment NPD
• Morgan James Whitmore, M.D.

  • Vascular & Interventional Radiology Physician
  • Atlanta, GA
  • NPI 1518220755

  MI

  Medicare reassignment NPD

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1740162973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD STE 115",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD STE 115",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751879",
            "telephone_number": "616-206-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT VASCULAR INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "ERMENTROUT",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "616-206-3551"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alon Rabin, PT
• Susanna Raburn
• Tai-Symone Rackley
• George Charles Rader
• Jonathon Rader
• Lauren Radtke- Rounds, PHD
• Melissa Radtke
• Silvana Radulescu, CRNA
• Lynette Rae
• Amy Raha

• Vascular & Interventional Radiology Physician in Novi, MI
• Providers in Novi, MI by specialty
• Vascular & Interventional Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.