Active NPI
Michael T Sunday, MD
- Diagnostic Radiology Physician
- Cheboygan, MI
National Provider Identifier
1831154061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301034999
- Practice address
- 748 South Main Street
Cheboygan, MI 49721 - Phone
- (231) 627-5601
- Fax
- (231) 627-1592
- NPI assigned
- Apr 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 4301034999 | MI | Primary |
Addresses
Primary practice location
748 South Main Street
Cheboygan, MI 49721
Mailing address
PO Box 1108
Ann Arbor, MI 48106-1108
Phone (231) 627-5601
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2770325 | Medicaid | MI | |
| M72490015 | Other | MI | MEDICARE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Radiology, PC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
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
- Cheboygan, MI
- NPI 1669487237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227225600000",
"number": "1831154061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1108",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481061108",
"telephone_number": "231-627-5601",
"fax_number": "231-627-1592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "748 SOUTH MAIN STREET",
"city": "CHEBOYGAN",
"state": "MI",
"postal_code": "49721",
"telephone_number": "231-627-5601",
"fax_number": "231-627-1592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDAY",
"first_name": "MICHAEL",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2008-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301034999",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2770325",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "M72490015",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cheboygan, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.