Michael John Connolly, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

74869 Issued in WI

Practice address

10945 N Port Washington Rd Ste 201
Mequon, WI 53092-5078

Phone

(262) 292-3151

NPI assigned

Apr 15, 2015

Last updated

Jun 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in WI, IL, AR, FL, NJ, CA, DE, NV8 enrollments

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 8

Specialty

Diagnostic Radiology

Education

Medical College of Wisconsin, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology Associates of Wausau SCGroup PAC ID 7618869587, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aspirus Wausau Hospital Hospital, Wausau, WI, CCN 520030
• Aspirus Medford Hospital & Clinics, Inc Hospital, Medford, WI, CCN 521324
• Aspirus Rhinelander Hospital Hospital, Rhinelander, WI, CCN 520019
• Langlade Hospital Hospital, Antigo, WI, CCN 521350
• Aspirus Stevens Point Hospital & Clinics, Inc. Hospital, Stevens Point, WI, CCN 520002

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (60 of 94)

Locations (25 of 62)

Networks

• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: mconnolly151480@direct.whhs.com
• Direct secure messaging: mconnolly525325@direct.hfhs.org
• Direct secure messaging: mconnolly689205@hisp.ehr.sutterhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Radiology Associates of Wausau, SC

  • Diagnostic Radiology Physician
  • Wausau, WI
  • NPI 1588679450
  Medicare reassignment Care Compare group NPD
• Precision Radiology - Illinois LTD

  • Specialist
  • Mequon, WI
  • NPI 1265156640
  Medicare reassignment NPD
• Premier Radiology Wisconsin, LLC

  • Diagnostic Radiology Physician
  • Mount Pleasant, WI
  • NPI 1952951154
  Medicare reassignment NPD
• Wisconsin Radiology Specialists, S C

  • Specialist
  • Mequon, WI
  • NPI 1568446003
  Medicare reassignment NPD
• Adventist Health Medical Center Tehachapi

  dba Adventist Health Medical Center Tehachapi Valley

  • Critical Access Hospital
  • Tehachapi, CA
  • NPI 1275538530
  Medicare reassignment NPD
• Adventist Health Physicians Network

  • Multi-Specialty Clinic/Center
  • Hanford, CA
  • NPI 1063718583
  Medicare reassignment NPD
• Arkansas Health Group

  dba Baptist Health Radiology Physicians

  • Diagnostic Radiology Physician
  • Little Rock, AR
  • NPI 1861216327
  Medicare reassignment NPD
• Central Valley Imaging Medical Associates, Inc

  • Diagnostic Radiology Physician
  • Manteca, CA
  • NPI 1275523169

  WI

  Medicare reassignment NPD
• Contemporary Diagnostic Imaging, LLC

  • Specialist
  • Belleville, NJ
  • NPI 1306267927
  Medicare reassignment NPD
• County of San Joaquin

  dba San Joaquin General Hospital

  • General Acute Care Hospital
  • French Camp, CA
  • NPI 1801830583
  Medicare reassignment NPD
• Delta Radiology, Inc.

  • Specialist
  • Lodi, CA
  • NPI 1881728327

  WI

  Medicare reassignment NPD
• Elite Imaging LLC

  dba Akumin

  • Diagnostic Radiology Physician
  • Plantation, FL
  • NPI 1376819888
  Medicare reassignment NPD

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

• Aspirus Medford Hospital & Clinics, Inc.

  dba Aspirus Therapy & Fitness - Medford

  • Rehabilitation Clinic/Center
  • Medford, WI
  • NPI 1104922814

  Hospital

  Care Compare affiliation
• Aspirus Medford Hospital & Clinics, Inc.

  dba Aspirus Therapy - Prentice

  • Rehabilitation Hospital Unit
  • Prentice, WI
  • NPI 1154468205
  Care Compare affiliation
• Aspirus Medford Hospital & Clinics, Inc.

  dba Aspirus Rib Lake Clinic

  • Rural Health Clinic/Center
  • Rib Lake, WI
  • NPI 1265502173

  Hospital

  Care Compare affiliation
• Aspirus Medford Hospital & Clinics, Inc.

  dba Aspirus Gilman Clinic

  • Rural Health Clinic/Center
  • Gilman, WI
  • NPI 1285703173

  Hospital

  Care Compare affiliation
• Aspirus Medford Hospital & Clinics, Inc.

  dba Aspirus Medford Clinic

  • Rural Health Clinic/Center
  • Medford, WI
  • NPI 1427140649

  Hospital

  Care Compare affiliation
• Aspirus Medford Hospital & Clinics, Inc.

  dba Aspirus Medford Hospital

  • Critical Access Hospital
  • Medford, WI
  • NPI 1619079597
  Care Compare affiliation
• Aspirus Medford Hospital & Clinics, Inc.

  dba Aspirus Prentice Clinic

  • Rural Health Clinic/Center
  • Prentice, WI
  • NPI 1710066584

  Hospital

  Care Compare affiliation
• Aspirus Medford Hospital & Clinics, Inc.

  dba Aspirus Athens Clinic

  • Rural Health Clinic/Center
  • Athens, WI
  • NPI 1760912919

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc

  dba Aspirus Rhinelander Clinic - North Shore Dr

  • Rural Health Clinic/Center
  • Rhinelander, WI
  • NPI 1598420218

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  dba Aspirus Plover Clinic - Plover Road

  • Clinic/Center
  • Plover, WI
  • NPI 1053080168

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  dba Aspirus Wittenberg Clinic

  • Clinic/Center
  • Wittenberg, WI
  • NPI 1114696507

  Hospital

  Care Compare affiliation
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  dba Aspirus Stevens Point Clinic - Illinois Avenue

  • Clinic/Center
  • Stevens Point, WI
  • NPI 1144991340

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1861889909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10945 N PORT WASHINGTON RD STE 201",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925078",
            "telephone_number": "262-292-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10945 N PORT WASHINGTON RD STE 201",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925078",
            "telephone_number": "262-292-3151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St # 556",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-5148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Salem Woodstown Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NJ",
            "postal_code": "080792064",
            "country_code": "US",
            "telephone_number": "856-935-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Pine Ridge Blvd",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544014102",
            "country_code": "US",
            "telephone_number": "715-847-2283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-15",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "74869-20",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "72289",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "MD-23870",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA12003700",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E-17247",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "74869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• John P Corsi, DC

• Diagnostic Radiology Physician in Mequon, WI
• Providers in Mequon, WI by specialty
• Diagnostic Radiology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.