Active NPI
Munson Medical Group
- Diagnostic Radiology Physician
- Traverse City, MI
National Provider Identifier
1851243901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- MUNSON MEDICAL GROUP
- Practice address
- 1105 Sixth St
Traverse City, MI 49684-2345 - Phone
- (231) 935-7941
- NPI assigned
- Feb 11, 2026
- Last updated
- Mar 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Frye, MD
- Title
- Pres. Ambulatory and Business Devel
- Phone
- (704) 458-8010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1105 Sixth St
Traverse City, MI 49684-2345
Mailing address
1105 Sixth St
Traverse City, MI 49684-2300
Phone (231) 935-7941
Other practice location 1
1619 Anderson Rd
Petoskey, MI 49770-9256
Phone (231) 935-7941
Other practice location 2
3074 N US 31 S
Traverse City, MI 49684-4533
Phone (231) 935-7941
Other practice location 3
1996 Walden Dr
Gaylord, MI 49735-8241
Phone (231) 935-7941
Other practice location 4
1100 E Michigan Ave
Grayling, MI 49738-1312
Phone (231) 935-7941
Other practice location 5
400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 935-7941
Other practice location 6
224 Park Ave
Frankfort, MI 49635-9658
Phone (231) 935-7941
Other practice location 7
419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 935-7941
Other practice location 8
302 Hobart St
Cadillac, MI 49601-2379
Phone (231) 935-7941
Other practice location 9
550 Munson Ave
Traverse City, MI 49686-3580
Phone (231) 935-7941
Other practice location 10
1465 E Parkdale Ave
Manistee, MI 49660-9709
Phone (231) 935-7941
Other practice location 11
825 N Center Ave
Gaylord, MI 49735-1592
Phone (231) 935-7941
Other practice location 12
14700 Lake Shore Dr
Charlevoix, MI 49720-1999
Phone (231) 935-7941
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260410002811 | MI | Part B Supplier - Clinic/Group Practice | 8820277015 |
Receives reassigned benefits from 41 practitioners Practice locations: Traverse City, MI; Cadillac, MI; Petoskey, MI; Manistee, MI; Kalkaska, MI; Gaylord, MI; Grayling, MI; Charlevoix, MI… |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Traverse Heart and Vascular
- Cardiovascular Disease Physician
- Traverse City, MI
- NPI 1821398322
8820277015
National Provider Directory
National Provider Directory- Tax ID family
- Munson Medical Group
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Munson Nephrology Consultants
- Nephrology Physician
- Traverse City, MI
- NPI 1114472370
-
dba MHC Cedarwoods Internal Medicine and Geriatrics
- Geriatric Medicine (Internal Medicine) Physician
- Traverse City, MI
- NPI 1326801440
-
dba Munson Family Practice Residency
- Family Medicine Physician
- Traverse City, MI
- NPI 1861047060
-
- Anesthesiology Physician
- Traverse City, MI
- NPI 1972225571
Locations
1619 Anderson Rd
Petoskey, MI 49770
Phone (231) 417-6000
Practitioners & affiliated clinicians
Practitioners 41
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.
-
- Diagnostic Radiology Physician
- Detroit, MI
- NPI 1194847038
-
- Vascular & Interventional Radiology Physician
- Tacoma, WA
- NPI 1902149339
MI
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774224000000",
"number": "1851243901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 SIXTH ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842300",
"telephone_number": "231-935-7941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 SIXTH ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842345",
"telephone_number": "231-935-7941"
}
],
"practiceLocations": [
{
"address_1": "1619 Anderson Rd",
"address_purpose": "LOCATION",
"city": "Petoskey",
"state": "MI",
"postal_code": "497709256",
"country_code": "US",
"telephone_number": "231-935-7941",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3074 N US 31 S",
"address_purpose": "LOCATION",
"city": "Traverse City",
"state": "MI",
"postal_code": "496844533",
"country_code": "US",
"telephone_number": "231-935-7941",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1996 Walden Dr",
"address_purpose": "LOCATION",
"city": "Gaylord",
"state": "MI",
"postal_code": "497358241",
"country_code": "US",
"telephone_number": "231-935-7941",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 E Michigan Ave",
"address_purpose": "LOCATION",
"city": "Grayling",
"state": "MI",
"postal_code": "497381312",
"country_code": "US",
"telephone_number": "231-935-7941",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 Hobart St",
"address_purpose": "LOCATION",
"city": "Cadillac",
"state": "MI",
"postal_code": "496012331",
"country_code": "US",
"telephone_number": "231-935-7941",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "224 Park Ave",
"address_purpose": "LOCATION",
"city": "Frankfort",
"state": "MI",
"postal_code": "496359658",
"country_code": "US",
"telephone_number": "231-935-7941",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "419 S Coral St",
"address_purpose": "LOCATION",
"city": "Kalkaska",
"state": "MI",
"postal_code": "496462503",
"country_code": "US",
"telephone_number": "231-935-7941",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "302 Hobart St",
"address_purpose": "LOCATION",
"city": "Cadillac",
"state": "MI",
"postal_code": "496012379",
"country_code": "US",
"telephone_number": "231-935-7941",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "550 Munson Ave",
"address_purpose": "LOCATION",
"city": "Traverse City",
"state": "MI",
"postal_code": "496863580",
"country_code": "US",
"telephone_number": "231-935-7941",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1465 E Parkdale Ave",
"address_purpose": "LOCATION",
"city": "Manistee",
"state": "MI",
"postal_code": "496609709",
"country_code": "US",
"telephone_number": "231-935-7941",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "825 N Center Ave",
"address_purpose": "LOCATION",
"city": "Gaylord",
"state": "MI",
"postal_code": "497351592",
"country_code": "US",
"telephone_number": "231-935-7941",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14700 Lake Shore Dr",
"address_purpose": "LOCATION",
"city": "Charlevoix",
"state": "MI",
"postal_code": "497201999",
"country_code": "US",
"telephone_number": "231-935-7941",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MUNSON MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-11",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A",
"authorized_official_last_name": "FRYE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRES. AMBULATORY AND BUSINESS DEVEL",
"authorized_official_telephone_number": "704-458-8010",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Traverse City, MI
- Munson Medical Group (MHC Cedarwoods Internal Medicine and Geriatrics)
- Munson Medical Group (Munson Partners In Health)
- Munson Medical Group (Milliken Medical Group)
- Munson Medical Group (MHC Elmwood Primary Care)
- Munson Medical Group (Traverse Heart and Vascular)
- Munson Medical Group (Munson Family Practice Residency)
- Munson Medical Group
- Munson Services, Inc. (MCHC DME)
- Elizabeth Ann Muoio, PHARM D
- Murphy Chiropractic, PLC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.