Individual provider Active NPI

Michael Olson, D.O., M.B.A.

  • Diagnostic Radiology Physician
  • Columbus, OH
National Provider Identifier
1891062592
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
34.010475 Issued in OH
Practice address
395 W 12TH Ave
Suite 401
Columbus, OH 43210-1267
Phone
(614) 293-3494
Fax
(614) 293-6935
NPI assigned
Nov 23, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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 34.010475 OH Primary

Addresses

Primary practice location

395 W 12TH Ave
Suite 401
Columbus, OH 43210-1267

Mailing address

395 W 12TH Ave
Suite 401
Columbus, OH 43210-1267
Phone (614) 293-3494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20130806000324 WI Practitioner - Diagnostic Radiology 0941466585 Reassigns benefits to 10 organizations
I20170111002795 MI Practitioner - Diagnostic Radiology 0941466585 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Kansas City Medical College, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Langlade Hospital - Hotel Dieu of St Joseph of Antigo WisconsinGroup PAC ID 1557271202, shared by 7 NPIs, 86 clinicians
Aspirus KeweenawGroup PAC ID 8123912011, shared by 7 NPIs, 116 clinicians
Divine Savior Healthcare IncGroup PAC ID 5799684007, 135 clinicians

Practice addresses (Care Compare)

110 E 5TH Ave
Antigo, WI 54409-2710
Phone (715) 623-2351

112 E 5TH Ave
Antigo, WI 54409-2710
Phone (715) 623-2331

1400 W Ice Lake Rd
Aspirus Iron River Hospital
Iron River, MI 49935-9526
Phone (906) 265-6121

205 Osceola St
Laurium, MI 49913-2134
Phone (906) 337-3100

2817 New Pinery Rd
Portage, WI 53901-9240
Phone (608) 742-4131

N10561 Grandview LN
Ironwood, MI 49938-9622
Phone (906) 932-2525

N10561 Granview LN
Grand View Hospital
Ironwood, MI 49938-9622
Phone (906) 932-2525

N10565 Grandview LN Aspirus Ironwood
Aspirus Palliative Medicine Michi
Ironwood, MI 49938-9622
Phone (715) 843-1067

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.2 of 100Reported as group
Quality
84.08
Promoting interoperability
100
Improvement activities
40
Cost
64.31

Merit-based Incentive Payment System (MIPS)

Final score
95.82 of 100Reported as group
Quality
92.4
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as group
Quality
89.76
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Master of Business Administration

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Aspirus Eagle River Hospital, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jul 1, 2013 Accepting new patients
The Howard Young Medical Center, Inc. Current Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Dec 7, 2021 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin CurrentSince Jul 1, 2013 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Dec 7, 2021 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin Current Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Aspirus Keweenaw CurrentSince Jul 30, 2021 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Dec 12, 2016 Accepting new patients
Aspirus Keweenaw CurrentSince Jul 30, 2021 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Dec 12, 2016 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Aspirus Keweenaw Current Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100

601 S 7th St
Ontonagon, MI 49953
Phone (906) 884-8000

112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331

110 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2351

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

501 Granite St
Hurley, WI 54534
Phone (715) 561-2255

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

604 S Webb St
Wittenberg, WI 54499
Phone (715) 253-2037

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1891062592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 W 12TH AVE",
            "address_2": "SUITE 401",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101267",
            "telephone_number": "614-293-3494",
            "fax_number": "614-293-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 W 12TH AVE",
            "address_2": "SUITE 401",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101267",
            "telephone_number": "614-293-3494",
            "fax_number": "614-293-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O., M.B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-23",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "34.010475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.