Individual provider Active NPI

John William Nay

  • Diagnostic Radiology Physician
  • Traverse City, MI
National Provider Identifier
1942520788
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301501471 Issued in MI
Practice address
1105 Sixth St
Traverse City, MI 49684-2345
Phone
(231) 935-0497
NPI assigned
Jun 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301501471 MI Primary
Diagnostic Radiology Physician 2085R0202X 01076055A IN

Addresses

Primary practice location

1105 Sixth St
Traverse City, MI 49684-2345

Mailing address

PO Box 30516 Dept 9516
Lansing, MI 48909-8016
Phone (231) 935-0497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, 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
I20160311002168 IN Practitioner - Diagnostic Radiology 6800025453 Reassigns benefits to 1 organization
I20200504000354 MI Practitioner - Diagnostic Radiology 6800025453 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Radiology P CGroup PAC ID 0143295410, 101 clinicians
Grand Traverse Radiologists PCGroup PAC ID 6002866407, 32 clinicians
Southern Indiana Imaging Consultants P CGroup PAC ID 2062492291, 8 clinicians
Ella E M Brown Charitable CircleGroup PAC ID 1254228745, 172 clinicians
Greene County General HospitalGroup PAC ID 2961481544, 102 clinicians

Practice addresses (Care Compare)

Traverse City, MI 49684
Phone (260) 432-1568

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000

225 Midtown Dr
Traverse City, MI 49684-5752
Phone (812) 485-4000

3700 Washington Ave
Evansville, IN 47714-0541
Phone (812) 485-4000

916 Myrtle St
Sturgis, MI 49091-2326
Phone (269) 659-4482

9319 S Majestic Ridge Dr
Traverse City, MI 49684-9461
Phone (269) 781-4271

Hospital & facility affiliations

  • Ascension St Vincent Evansville Hospital, Evansville, IN, CCN 150100
  • Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017
  • Ascension St Vincent Warrick Hospital, Boonville, IN, CCN 151325
  • Adams Memorial Hospital Hospital, Decatur, IN, CCN 151330
  • Munson Medical Center Hospital, Traverse City, MI, CCN 230097

Merit-based Incentive Payment System (MIPS)

Final score
96.06 of 100Reported as group
Quality
92.11
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.64 of 100Reported as group
Quality
91.34
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01076055AINMDDiagnostic Radiology Physician
4301501471MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Traverse Radiologists PC Diagnostic Radiology CurrentSince Jun 15, 2020 Accepting new patients
Ella E M Brown Charitable Circle CurrentSince Jul 25, 2025 Accepting new patients
Southern Indiana Imaging Consultants P C Diagnostic Radiology CurrentSince Feb 19, 2016 Accepting new patients
Summit Radiology P C Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
St Marys Health Inc CurrentSince Apr 1, 2020 Accepting new patients
Novello Imaging PLC CurrentSince Mar 1, 2021 Accepting new patients
Dr Richard Burke Pain and Neuromodulation PLLC CurrentSince Aug 11, 2023 Accepting new patients
Greene County General Hospital Diagnostic Radiology CurrentSince Apr 30, 2026 Accepting new patients
St. Mary'S Health, Inc CurrentSince May 5, 2025 Accepting new patients
Ella E M Brown Charitable Circle Diagnostic Radiology CurrentSince Jul 25, 2025 Accepting new patients

Locations

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

916 Myrtle St
Sturgis, MI 49091
Phone (269) 651-7824

4290 Copper Ridge Dr
Ste 100
Traverse City, MI 49684
Phone (231) 421-8505

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1942520788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30516 DEPT 9516",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489098016",
            "telephone_number": "231-935-0497",
            "fax_number": "423-826-1286"
        },
        {
            "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": "231-935-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAY",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-03",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301501471",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01076055A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.