Individual provider Active NPI

Michael Friedman, MD

  • Diagnostic Radiology Physician
  • Belleville, IL
National Provider Identifier
1871742924
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036151434 Issued in IL
Practice address
4500 Memorial Dr
Dept Radiology
Belleville, IL 62226-5360
Phone
(618) 257-5613
Fax
(314) 454-4641
NPI assigned
Sep 13, 2008
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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 036151434 IL Primary

Addresses

Primary practice location

4500 Memorial Dr
Dept Radiology
Belleville, IL 62226-5360

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (618) 257-5613

Other identifiers 1

IdentifierTypeStateIssuer
209556406MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL, IN, TN4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20120605000401 MO Practitioner - Diagnostic Radiology 0547424442 Reassigns benefits to 7 organizations
I20200311001425 IL Practitioner - Diagnostic Radiology 0547424442 Reassigns benefits to 3 organizations
I20210429001642 IN Practitioner - Diagnostic Radiology 0547424442 Reassigns benefits to 1 organization
I20250117001828 TN Practitioner - Diagnostic Radiology 0547424442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Iowa, RJ & L Carver College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Orthopaedic Group LLPGroup PAC ID 9335042811, 91 clinicians
Clinical Radiologists SCGroup PAC ID 3476540873, 32 clinicians
BJC Outpatient Imaging LLCGroup PAC ID 0840770020, 24 clinicians
Ft Jesse Imaging Center LLCGroup PAC ID 1951379106, 10 clinicians
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians

Practice addresses (Care Compare)

1 S Keene St
Columbia, MO 65201-7199
Phone (573) 443-2402

100 Medical Dr
Hannibal, MO 63401-6877
Phone (573) 221-5250

1404 Cross St
Shiloh, IL 62269-2988
Phone (636) 681-1540

1413 Neffwold LN
Kirkwood, MO 63122-7008
Phone (309) 454-5552

1785 Clarkson Rd
Chesterfield, MO 63017-4966
Phone (636) 681-1540

2200 Fort Jesse Rd
Suite 120
Normal, IL 61761-6286
Phone (309) 454-5552

3050 Montvale Dr
Suite a
Springfield, IL 62704-6924
Phone (217) 726-8096

520 S 7TH St
Vincennes, IN 47591-1038
Phone (217) 726-8096

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036151434ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Radiologists, S.C. Diagnostic Radiology CurrentSince Feb 27, 2020 Accepting new patients
Miracl, LLC CurrentSince Dec 24, 2018 Accepting new patients
Ft. Jesse Imaging Center LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Washington University Physicians in Illinois Inc Diagnostic Radiology CurrentSince Oct 22, 2025 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Washington University Physicians in Illinois, Inc CurrentSince Oct 22, 2025 Accepting new patients
Pinnacle Health Services of North Carolina LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Imaging Specialists PLLC Diagnostic Radiology CurrentSince Jan 6, 2025 Accepting new patients
BJC Outpatient Imaging LLC Diagnostic Radiology CurrentSince Feb 9, 2026 Accepting new patients
Brier Creek Imaging, LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Columbia Orthopaedic Group, LLP CurrentSince Aug 1, 2025 Accepting new patients
Crawford Hospital District Current Accepting new patients
Columbia Orthopaedic Group, LLP CurrentSince Aug 1, 2025 Accepting new patients
Washington University Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients
Schuyler County Hospital District Past Accepting new patients
Bloomington Radiology S C Diagnostic Radiology PastSince Jan 1, 2025 Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

2122 Troy Rd
Ste 130
Edwardsville, IL 62025
Phone (618) 692-9876

520 E 22nd St
Lombard, IL 60148
Phone (630) 874-2542

2200 Fort Jesse Rd
Ste 120
Normal, IL 61761
Phone (309) 452-9001

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

238 S Congress St
Rushville, IL 62681
Phone (217) 322-4321

1404 Cross St
Shiloh, IL 62269
Phone (618) 607-1000

3050 Montvale Dr
Springfield, IL 62704

3050 Montvale Dr
Ste A
Springfield, IL 62704
Phone (217) 222-9302

1185 N 1000 W
Linton, IN 47441
Phone (812) 847-2281

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

1785 Clarkson Rd
Chesterfield, MO 63017
Phone (636) 681-1540

1 S Keene St
Columbia, MO 65201
Phone (573) 443-2402

100 Medical Dr
Hannibal, MO 63401

300 Health Way Dr
Potosi, MO 63664
Phone (573) 438-2977

1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170

510 S Kingshighway Blvd
Saint Louis, MO 63110
Phone (314) 362-0177

660 S Euclid Ave
#C
Saint Louis, MO 63110

800 Crescent Centre Dr
Ste 400
Franklin, TN 37067

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1221264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1871742924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "618-257-5613",
            "fax_number": "314-454-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MEMORIAL DR",
            "address_2": "DEPT RADIOLOGY",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265360",
            "telephone_number": "618-257-5613",
            "fax_number": "314-454-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-13",
        "last_updated": "2025-10-21",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036151434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209556406",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "4500 Memorial Dr",
            "address_2": "Dept Radiology",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622265360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.