Michael A. Reardon, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

201501881 Issued in NC

Practice address

3155 Maplewood Ave
Winston Salem, NC 27103-3903

Phone

(336) 970-5300

Fax

(336) 970-5298

NPI assigned

May 29, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Diagnostic Radiology

Education

University of Virginia School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Triad Radiology Associates PLLCGroup PAC ID 8729086194, 75 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Regional Hospital Hospital, Mount Airy, NC, CCN 340003
• Ashe Memorial Hospital Hospital, Jefferson, NC, CCN 341325
• Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Triad Radiology Associates PLLC

  • Diagnostic Radiology Physician
  • Winston Salem, NC
  • NPI 1659485001
  Medicare reassignment Care Compare group NPD
• Novant Health Enterprises Imaging, LLC

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1043005689
  NPD
• Novant Health Enterprises Imaging, LLC

  • Diagnostic Radiology Physician
  • Laurinburg, NC
  • NPI 1144015777
  NPD
• Novant Health Enterprises Imaging, LLC

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1235924846
  NPD
• Novant Health Enterprises Imaging, LLC

  • Diagnostic Radiology Physician
  • Huntersville, NC
  • NPI 1386439909
  NPD
• Novant Health Enterprises Imaging, LLC

  • Diagnostic Radiology Physician
  • Concord, NC
  • NPI 1447045067
  NPD
• Novant Health Enterprises Imaging, LLC

  • Diagnostic Radiology Physician
  • Clemmons, NC
  • NPI 1457146060
  NPD
• Novant Health Enterprises Imaging, LLC

  • Diagnostic Radiology Physician
  • Belmont, NC
  • NPI 1578358180
  NPD
• Novant Health Enterprises Imaging, LLC

  • Diagnostic Radiology Physician
  • Shelby, NC
  • NPI 1629863261
  NPD
• Novant Health Enterprises Imaging, LLC

  • Diagnostic Radiology Physician
  • Mooresville, NC
  • NPI 1649065285
  NPD
• Novant Health Enterprises Imaging, LLC

  • Diagnostic Radiology Physician
  • Matthews, NC
  • NPI 1851186480
  NPD
• Novant Health Enterprises Imaging, LLC

  • Diagnostic Radiology Physician
  • Kernersville, NC
  • NPI 1891580429
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ashe Memorial Hospital Inc

  • Critical Access Hospital
  • Jefferson, NC
  • NPI 1376671370
  Care Compare affiliation
• Forsyth Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Winston Salem, NC
  • NPI 1447200233
  Care Compare affiliation
• Northern Hospital of Surry County

  • General Acute Care Hospital
  • Mount Airy, NC
  • NPI 1366449282
  Care Compare affiliation

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1740448497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 TRENWEST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033208",
            "telephone_number": "336-970-5300",
            "fax_number": "336-970-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 MAPLEWOOD AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033903",
            "telephone_number": "336-970-5300",
            "fax_number": "336-970-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REARDON",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "VA",
            "license": "0101248087",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "201501881",
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NC",
            "license": "201501881",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Sarah Reagan, LCAS-A
• Lauryn Elizabeth Miller Reagan
• Bradley Norman Reames, M.D.
• Nicole Marie Reams, NNP
• Alexandra Reardon
• Chelsea Michele Reasor, NCC, LPCA
• Margurite Reaves, LCSWA
• Anna Marie Reavis, LCMHC-A
• Jerry Ray Reavis, DC
• Rebecca S. Valla, MD

• Diagnostic Radiology Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Diagnostic Radiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.

Verify at the official NPI Registry.