Individual provider Active NPI

Jeffrey Robert Wesolowski, MD, MHSA

  • Diagnostic Radiology Physician
  • Ann Arbor, MI
National Provider Identifier
1962474163
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD60703635 Issued in WA
Practice address
1500 East Medical Center Dr
B1 Floor University Hospital Recp C
Ann Arbor, MI 48109-5030
Phone
(734) 936-4566
NPI assigned
Feb 2, 2006
Last updated
Feb 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X MD180766 OR
Neuroradiology Physician 2085N0700X 4301089073 MI
Neuroradiology Physician 2085N0700X MD60703635 WA
Diagnostic Radiology Physician 2085R0202X D0063047 MD
Diagnostic Radiology Physician 2085R0202X MD60703635 WA Primary
Diagnostic Radiology Physician 2085R0202X 76717 TN
Diagnostic Radiology Physician 2085R0202X 4301089073 MI
Diagnostic Radiology Physician 2085R0202X MD180766 OR

Addresses

Primary practice location

1500 East Medical Center Dr
B1 Floor University Hospital Recp C
Ann Arbor, MI 48109-5030

Mailing address

1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Phone (253) 761-4200

Other practice location 1

1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Phone (253) 761-4200

Other practice location 2

7211 Wellington Dr Ste 101
Knoxville, TN 37919-5968
Phone (865) 588-8005 ext. 44747

Other practice location 3

13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (855) 979-5700 ext. 44624

Other identifiers 4

IdentifierTypeStateIssuer
2849OtherMDB/C B/S
407969800MedicaidMD
J062OtherMDB/C B/S
KA80OtherMDB/C B/S

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, FL, IN, TN, NJ, NC, OH, AZ, TX, OK11 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 11

Enrollment IDStateProvider typePAC IDDetails
I20161230001561 WA Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 3779510821 Reassigns benefits to 5 organizations
I20170725002120 OR Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 3779510821 Reassigns benefits to 2 organizations
I20260224004268 FL Practitioner - Diagnostic Radiology 3779510821 Reassigns benefits to 2 organizations
I20260313000562 IN Practitioner - Diagnostic Radiology 3779510821 Reassigns benefits to 2 organizations
I20260316003824 TN Practitioner - Diagnostic Radiology 3779510821 Reassigns benefits to 1 organization
I20260320002278 NJ Practitioner - Diagnostic Radiology 3779510821 Reassigns benefits to 1 organization
I20260326000605 NC Practitioner - Diagnostic Radiology 3779510821 Reassigns benefits to 2 organizations
I20260415002754 OH Practitioner - Diagnostic Radiology 3779510821 Reassigns benefits to 2 organizations
I20260421001484 AZ Practitioner - Diagnostic Radiology 3779510821 Reassigns benefits to 1 organization
I20260528000225 TX Practitioner - Diagnostic Radiology 3779510821 Reassigns benefits to 1 organization
I20260602003491 OK Practitioner - Diagnostic Radiology 3779510821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Pittsburgh School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tra-Minw P SGroup PAC ID 2163316167, 152 clinicians
Union Avenue Open MRI LLCGroup PAC ID 5597652917, 44 clinicians
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

1455 Battersby Ave
Enumclaw, WA 98022-3634
Phone (253) 841-4353

1515 Dock St
Unit 223
Tacoma, WA 98402-3254
Phone (251) 761-4200

16251 Sylvester Rd SW
Burien, WA 98166-3017
Phone (253) 841-4353

16259 Sylvester Rd SW
Burien, WA 98166-3049
Phone (253) 841-4353

222 15TH Ave SE
Puyallup, WA 98372-3754
Phone (253) 841-4353

2502 S Union Ave
Tacoma, WA 98405-1328
Phone (253) 841-4353

2801 St Anthony Way
Pendleton, OR 97801-3800
Phone (253) 841-4353

3402 S 18TH St
Tacoma, WA 98405-1903
Phone (253) 841-4353

34515 9TH Ave S
Federal Way, WA 98003-6761
Phone (253) 841-4353

4700 Point Fosdick Dr
Suite 111
Gig Harbor, WA 98335-1706
Phone (253) 841-4353

4700 Point Fosdick Dr NW
Suite 110
Gig Harbor, WA 98335-1706
Phone (253) 841-4353

500 Lilly Rd NE
Suite 160
Olympia, WA 98506-9107
Phone (253) 841-4353

7211 Wellington Dr
Suite 101
Knoxville, TN 37919-5968
Phone (865) 558-9822

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76717TNMDContractor
MD60703635WAMDNeuroradiology Physician
D0063047MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Mar 1, 2026 Accepting new patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance CurrentSince Mar 1, 2017 Accepting new patients
American Health Network of Indiana LLC CurrentSince Mar 5, 2026 Accepting new patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance CurrentSince Mar 1, 2017 Accepting new patients
Tra-Minw P S CurrentSince Jan 1, 2017 Accepting new patients
Tra Medical Imaging Centers LLC CurrentSince Dec 1, 2025 Accepting new patients
Summit Medical Group, PLLC CurrentSince Feb 3, 2026 Accepting new patients
Union Avenue Open MRI LLC CurrentSince Jan 1, 2017 Accepting new patients
Summit Medical Group, PLLC CurrentSince Feb 3, 2026 Accepting new patients
Millennium Physician Group LLC CurrentSince Mar 1, 2026 Accepting new patients
American Health Network of Indiana, LLC CurrentSince Mar 5, 2026 Accepting new patients
American Radiology Associates, P.a. Neuroradiology Past Accepting new patients
American Radiology Associates, P.a. Neuroradiology Past Accepting new patients

Locations

13813 Metro Pkwy
Fort Myers, FL 33912
Phone (239) 936-1343

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

4101 Technology Ave
New Albany, IN 47150
Phone (812) 941-4500

2801 St Anthony Way
Pendleton, OR 97801
Phone (541) 276-5121

7211 Wellington Dr
Ste 101
Knoxville, TN 37919
Phone (865) 588-8005

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

222 15th Ave SE
Puyallup, WA 98372

1304 Fawcett Ave
Ste 100
Tacoma, WA 98402
Phone (253) 680-3372

2502 S Union Ave
Tacoma, WA 98405
Phone (253) 759-5900

3402 S 18th St
Tacoma, WA 98405
Phone (253) 383-1099

9601 Steilacoom Blvd SW
Tacoma, WA 98498
Phone (253) 582-8900

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-trami

Organizations & group practices 25

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 25

Hospital & facility affiliations 9

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1962474163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 FAWCETT AVE STE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984021900",
            "telephone_number": "253-761-4200",
            "fax_number": "253-761-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EAST MEDICAL CENTER DR",
            "address_2": "B1 FLOOR UNIVERSITY HOSPITAL RECP C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095030",
            "telephone_number": "734-936-4566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1304 Fawcett Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984021900",
            "country_code": "US",
            "telephone_number": "253-761-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7211 Wellington Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379195968",
            "country_code": "US",
            "telephone_number": "865-588-8005 x44747",
            "fax_number": "865-588-7716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13813 METRO PKWY",
            "address_purpose": "LOCATION",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124343",
            "country_code": "US",
            "telephone_number": "855-979-5700 x44624",
            "fax_number": "855-979-5701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESOLOWSKI",
        "first_name": "JEFFREY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD, MHSA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "OR",
            "license": "MD180766",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MI",
            "license": "4301089073",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "WA",
            "license": "MD60703635",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0063047",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD60703635",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "76717",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301089073",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD180766",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C B/S",
            "identifier": "2849",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407969800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C B/S",
            "identifier": "J062",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C B/S",
            "identifier": "KA80",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.