Individual provider Active NPI

John W. Staszel, D.O.

  • Diagnostic Radiology Physician
  • Fraser, MI
National Provider Identifier
1922196773
Registry record updated Dec 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME70950 Issued in FL
Practice address
33089 Groesbeck Hwy
Fraser, MI 48026-1501
Phone
(586) 296-2800
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2017

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 ME70950 FL Primary

Addresses

Primary practice location

33089 Groesbeck Hwy
Fraser, MI 48026-1501

Mailing address

46572 Rockford Dr
Shelby Township, MI 48315-5630
Phone (954) 699-1025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20121219000477 FL Practitioner - Diagnostic RadiologyPractitioner - Family Practice 8628220639 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Centers of America, LLPGroup PAC ID 0547174120, 108 clinicians

Practice addresses (Care Compare)

15340 S Jog Rd
Suite 160
Delray Beach, FL 33446-2170
Phone (561) 496-6935

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
Diagnostic Centers of America LLP Diagnostic Radiology CurrentSince Jun 4, 2020 Accepting new patients
Radiology Associates of South Florida LLC Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Independent Imaging LLC CurrentSince Jul 31, 2017 Accepting new patients
Independent Imaging, LLC CurrentSince Jul 31, 2017 Accepting new patients
Boca Radiology Group PA Diagnostic Radiology Past Accepting new patients

Locations

701 NW 13th St
Boca Raton, FL 33486
Phone (561) 955-5966

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

1601 Clint Moore Rd
Ste 140
Boca Raton, FL 33487
Phone (561) 447-9341

690 Meadows Rd
Boca Raton, FL 33486
Phone (561) 955-2131

6080 Boynton Beach Blvd
Ste 140
Boynton Beach, FL 33437
Phone (561) 736-3227

3313 W Hillsboro Blvd
Ste 101
Deerfield Beach, FL 33442
Phone (954) 420-0100

15340 S Jog Rd
Ste 160
Delray Beach, FL 33446

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

3347 S State Road 7
Ste 100
Wellington, FL 33449
Phone (561) 795-5558

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513209600000",
    "number": "1922196773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46572 ROCKFORD DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483155630",
            "telephone_number": "954-699-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33089 GROESBECK HWY",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480261501",
            "telephone_number": "586-296-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASZEL",
        "first_name": "JOHN",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2017-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME70950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fraser, MI

Sources for this page

Verify at the official NPI Registry.