Organization Active NPI

Cira Michigan PC

  • Diagnostic Radiology Physician
  • Escanaba, MI
National Provider Identifier
1972141513
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CIRA MICHIGAN PC
Practice address
3401 Ludington St
Escanaba, MI 49829-1300
Phone
(906) 786-3311
NPI assigned
Dec 13, 2019
Last updated
Mar 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Authorized official

Name
Dr. Kevin M Fahey, MDNPI 1861561672
Title
President
Phone
(309) 740-4272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

3401 Ludington St
Escanaba, MI 49829-1300

Mailing address

111 Oakwood Rd
East Peoria, IL 61611-1853
Phone (309) 740-4272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CA, DC, IL, IN, GA, OH, MA, TX, WA, NC, FL, MN, OR, NV, MD, UT, MO, OK, KY, PR, PA, VA, MS24 enrollments

Enrollment records 24

Enrollment IDStateProvider typePAC IDDetails
O20200324000504 MI Part B Supplier - Clinic/Group Practice 7113355264 Receives reassigned benefits from 6 practitioners
Practice locations: Powers, MI; Northville, MI; Lake Orion, MI; Gladstone, MI; Iron Mountain, MI; Escanaba, MI; Ann Arbor, MI; Holland, MI
O20200917001933 CA Part B Supplier - Clinic/Group Practice 7113355264 Receives reassigned benefits from 5 practitioners
Practice locations: Cambria, CA; Encinitas, CA; Mill Valley, CA; Mountain View, CA; Piedmont, CA; San Francisco, CA; Santa Monica, CA; Yucca Valley, CA
O20201023001046 DC Part B Supplier - Clinic/Group Practice 7113355264 Receives reassigned benefits from 2 practitioners
Practice locations: MC Lean, VA; Gaithersburg, MD
O20211101000663 IL Part B Supplier - Clinic/Group Practice 7113355264 Receives reassigned benefits from 73 practitioners
O20220406002523 IN Part B Supplier - Clinic/Group Practice 7113355264 Receives reassigned benefits from 1 practitioner
Practice locations: West Lafayette, IN
O20221024002689 GA Part B Supplier - Clinic/Group Practice 7113355264 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA
O20221108001585 OH Part B Supplier - Clinic/Group Practice 7113355264 Receives reassigned benefits from 3 practitioners
Practice locations: Powell, OH; Upper Arlington, OH; Perrysburg, OH
O20230328002193 MA Part B Supplier - Clinic/Group Practice 7113355264 Receives reassigned benefits from 3 practitioners
Practice locations: Boston, MA; Cambridge, MA; Needham, MA; Newton, MA; Winchester, MA
O20230411000041 TX Part B Supplier - Clinic/Group Practice 7113355264 Receives reassigned benefits from 6 practitioners
Practice locations: Prosper, TX; Sugar Land, TX; McKinney, TX; Austin, TX; Argyle, TX; Allen, TX
O20230526002009 WA Part B Supplier - Clinic/Group Practice 7113355264 Receives reassigned benefits from 1 practitioner
Practice locations: Kirkland, WA; Blaine, WA
O20230605001820 NC Part B Supplier - Clinic/Group Practice 7113355264 Receives reassigned benefits from 3 practitioners
Practice locations: Durham, NC; Pittsboro, NC; Wilmington, NC
O20230919003118 FL Part B Supplier - Clinic/Group Practice 7113355264 Receives reassigned benefits from 7 practitioners
Practice locations: Fort Lauderdale, FL; The Villages, FL; Fort Myers, FL; Cutler Bay, FL; Cape Coral, FL; Boca Raton, FL
O20230927002215 MN Part B Supplier - Clinic/Group Practice 7113355264 Practice locations: St Louis Park, MN
O20231011000382 OR Part B Supplier - Clinic/Group Practice 7113355264 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, OR
O20231018000606 NV Part B Supplier - Clinic/Group Practice 7113355264 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV
O20240102000647 MD Part B Supplier - Clinic/Group Practice 7113355264 Receives reassigned benefits from 1 practitioner
Practice locations: Bel Air, MD
O20240417002290 UT Part B Supplier - Clinic/Group Practice 7113355264 Receives reassigned benefits from 1 practitioner
Practice locations: Midvale, UT
O20240618002363 MO Part B Supplier - Clinic/Group Practice 7113355264 Receives reassigned benefits from 2 practitioners
Practice locations: Chesterfield, MO
O20250116000698 OK Part B Supplier - Clinic/Group Practice 7113355264 Practice locations: Bixby, OK
O20251104001521 KY Part B Supplier - Clinic/Group Practice 7113355264 Receives reassigned benefits from 1 practitioner
Practice locations: Crestwood, KY
O20260315000041 PR Part B Supplier - Clinic/Group Practice 7113355264 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR
O20260428001043 PA Part B Supplier - Clinic/Group Practice 7113355264 Receives reassigned benefits from 1 practitioner
Practice locations: Doylestown, PA
O20260506002982 VA Part B Supplier - Clinic/Group Practice 7113355264 Receives reassigned benefits from 1 practitioner
Practice locations: Keswick, VA
O20260623002262 MS Part B Supplier - Clinic/Group Practice 7113355264 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, MS

National Provider Directory

National Provider Directory

Locations

5200 Reliable Pkwy
Chicago, IL 60686
Phone (309) 671-8748

145 4th Ave N
Gladstone, MI 49837
Phone (906) 428-3273

Practitioners & affiliated clinicians

Practitioners 390

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 390

NPI Registry JSON

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1972141513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 OAKWOOD RD",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616111853",
            "telephone_number": "309-740-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 LUDINGTON ST",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291300",
            "telephone_number": "906-786-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRA MICHIGAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-13",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "FAHEY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-740-4272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escanaba, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.