Active NPI
Jeffrey Robert Wesolowski, MD, MHSA
- Diagnostic Radiology Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD60703635
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2849 | Other | MD | B/C B/S |
| 407969800 | Medicaid | MD | |
| J062 | Other | MD | B/C B/S |
| KA80 | Other | MD | B/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, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 11
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 76717 | TN | MD | Contractor |
| MD60703635 | WA | MD | Neuroradiology Physician |
| D0063047 | MD | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Current | Accepting new patients | |
| American Health Network of Indiana LLC | Current | Accepting new patients | |
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Current | Accepting new patients | |
| Tra-Minw P S | Current | Accepting new patients | |
| Tra Medical Imaging Centers LLC | Current | Accepting new patients | |
| Summit Medical Group, PLLC | Current | Accepting new patients | |
| Union Avenue Open MRI LLC | Current | Accepting new patients | |
| Summit Medical Group, PLLC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| American Health Network of Indiana, LLC | Current | 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
- 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.
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1083802946
-
dba Cool Springs Internal Medicine and Pediatrics
- Internal Medicine Physician
- Brentwood, TN
- NPI 1659090298
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1568531242
-
- Internal Medicine Physician
- Carmel, IN
- NPI 1831236272
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1447041751
-
- Family Medicine Physician
- Columbus, OH
- NPI 1386675544
-
dba OrthoAlliance of Ohio
- Specialist
- Cincinnati, OH
- NPI 1386670065
-
- Internal Medicine Physician
- Portland, OR
- NPI 1609876705
-
- Emergency Medicine Physician
- Bayonne, NJ
- NPI 1700014545
-
- Clinic/Center
- Phoenix, AZ
- NPI 1750686614
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Joseph Lab PAC LAB
- Clinical Medical Laboratory
- Tacoma, WA
- NPI 1659585370
Hospital
-
dba St Joseph Medical Center
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
dba St. Francis Hospital
- General Acute Care Hospital
- Federal Way, WA
- NPI 1093713091
-
dba St Joseph Medical Center
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
-
dba St Anthony Hospital
- General Acute Care Hospital
- Gig Harbor, WA
- NPI 1447406699
-
dba Tacoma General Allenmore
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
-
dba MultiCare Good Samaritan Hospital
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
-
dba St Francis Pac Lab
- Clinical Medical Laboratory
- Federal Way, WA
- NPI 1336353069
Hospital
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1922305606
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.