Active NPI
Isaias S Villarosa, MD
- Diagnostic Radiology Physician
- Southfield, MI
National Provider Identifier
1821046475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301027315
- Practice address
- 29829 Telegraph Rd
Suite L103
Southfield, MI 48034-1330 - Phone
- (248) 352-9525
- Fax
- (248) 357-2959
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 4301027315 | MI | Primary |
| Diagnostic Ultrasound Physician | 2085U0001X | 4301027315 | MI |
Addresses
Primary practice location
29829 Telegraph Rd
Suite L103
Southfield, MI 48034-1330
Mailing address
29829 Telegraph Rd
Suite L103
Southfield, MI 48034-1330
Phone (248) 352-9525
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300125459 | Other | MI | MEDICARE RAILROAD |
| 1770819864 | Other | MI | NPI MIDWEST FAMILY MEDICINE PLC |
| 4189190 | Medicaid | MI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4301027315 | MI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Diagnostic Services, Inc | Past | Accepting new patients | |
| Psi Radiological Service, Inc | Past | Accepting new patients | |
| MMG 1 PC | Past | Accepting new patients | |
| Premier Health and Wellness Center | Past | Accepting new patients | |
| Physicians Residential Services, P.C. | Past | Accepting new patients | |
| Advanced Medical Diagnostics PLLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Diagnostic Radiology Physician
- Ferndale, MI
- NPI 1003145939
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Bloomfield Hills, MI
- NPI 1003084468
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1982639357
-
- General Practice Physician
- Eastpointe, MI
- NPI 1700866811
-
- Multi-Specialty Clinic/Center
- Warren, MI
- NPI 1659631265
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Detroit, MI
- NPI 1821066648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264550400000",
"number": "1821046475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29829 TELEGRAPH RD",
"address_2": "SUITE L103",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341330",
"telephone_number": "248-352-9525",
"fax_number": "248-357-2959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29829 TELEGRAPH RD",
"address_2": "SUITE L103",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341330",
"telephone_number": "248-352-9525",
"fax_number": "248-357-2959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLAROSA",
"first_name": "ISAIAS",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2010-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301027315",
"primary": true
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "MI",
"license": "4301027315",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "300125459",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI MIDWEST FAMILY MEDICINE PLC",
"identifier": "1770819864",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4189190",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
- Vijay Walvekar Central Home Rehabilitation Services
- Village Center Physical Therapy LLC
- Village Pharmacy Compounding 2 Inc
- Ericson G Villanueva, P.T.
- Manuel Angel Villanueva, RN
- Christina Villarreal-Pete
- Mariana Villegas Venegas
- Amanda J Villescas, RD
- Vinaykmalviya MD PC
- Vincenzo Guglielmetti, MD, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.