Individual provider Active NPI

Michael Fagien, M.D.

  • Diagnostic Radiology Physician
  • Hialeah, FL
National Provider Identifier
1780680751
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME 59548 Issued in FL
Practice address
49 W 49TH St
Hialeah, FL 33012-3709
Phone
(305) 674-8648
Fax
(305) 817-6490
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 ME 59548 FL Primary

Addresses

Primary practice location

49 W 49TH St
Hialeah, FL 33012-3709

Mailing address

49 W 49TH St
Hialeah, FL 33012-3709
Phone (305) 674-8648

Other identifiers 1

IdentifierTypeStateIssuer
ME 59548OtherFLSTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040107000653 FL Practitioner - Nuclear MedicinePractitioner - Family Practice 9133028269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
University of Florida College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Impression Imaging LLCGroup PAC ID 1759547979, 34 clinicians

Practice addresses (Care Compare)

7180 N University Dr
Tamarac, FL 33321-2916
Phone (954) 580-2780

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 59548FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Impression Imaging LLC Diagnostic Radiology CurrentSince Mar 20, 2012 Accepting new patients
Impression Imaging LLC Diagnostic Radiology Past Accepting new patients
National P.E.T. Scan Pinellas, LLC Diagnostic Radiology Past Accepting new patients
Florida Clinical Practice Association Inc Past Accepting new patients
Eiber Radiology Diagnostic Radiology Past Accepting new patients
Impression Imaging LLC Diagnostic Radiology Past Accepting new patients
Impression Imaging LLC Diagnostic Radiology Past Accepting new patients
Florida Clinical Practice Association Inc Past Accepting new patients
National Pet Scan Management, LLC PastSince Apr 24, 2022 Accepting new patients
Gordon Clinic-Antonio Gordon MD PA Past Accepting new patients
Eiber Radiology Inc Diagnostic Radiology Past Accepting new patients

Locations

7180 N University Dr
Ste 130
Tamarac, FL 33321
Phone (954) 718-4560

7180 N University Dr
Tamarac, FL 33321
Phone (954) 580-2780

Organizations & group practices 11

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": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1780680751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 W 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123709",
            "telephone_number": "305-674-8648",
            "fax_number": "305-817-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 W 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123709",
            "telephone_number": "305-674-8648",
            "fax_number": "305-817-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGIEN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME 59548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "ME 59548",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.