NPIMap

Organization Active NPI

Park Plaza Radiology, Inc

  • Diagnostic Radiology Physician
  • Flint, MI
National Provider Identifier
1982611224
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301406912 Issued in MI
Legal business name
PARK PLAZA RADIOLOGY, INC
Practice address
G 1071 N Ballenger Hwy
Suite 102
Flint, MI 48504
Phone
(810) 235-0668
Fax
(810) 235-8928
NPI assigned
Aug 1, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Apparao Mukkamala, MDNPI 1144263831
Title
President
Phone
(810) 424-4761

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 4301031703 MI
Neuroradiology Physician 2085N0700X 4301042515 MI
Diagnostic Radiology Physician 2085R0202X 4301031588 MI
Diagnostic Radiology Physician 2085R0202X 4301034123 MI
Diagnostic Radiology Physician 2085R0202X 4301057046 MI
Diagnostic Radiology Physician 2085R0202X 4301034675 MI
Diagnostic Radiology Physician 2085R0202X 4301037709 MI
Diagnostic Radiology Physician 2085R0202X 4301046932 MI
Diagnostic Radiology Physician 2085R0202X 4301406912 MI Primary
Vascular & Interventional Radiology Physician 2085R0204X 4301037112 MI

Addresses

Primary practice location

G 1071 N Ballenger Hwy
Suite 102
Flint, MI 48504

Mailing address

PO Box 4459
Flint, MI 48504-4850
Phone (810) 424-4761

Other identifiers 1

IdentifierTypeStateIssuer
0B56014OtherMIBCBS COMMON PROVIDER CODE

National Provider Directory

National Provider Directory

Locations

Dept CH 17858
Palatine, IL 60055

G1071 N Ballenger Hwy
Ste 102
Flint, MI 48504
Phone (810) 235-0660

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1982611224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4459",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044850",
            "telephone_number": "810-424-4761",
            "fax_number": "810-424-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G 1071 N BALLENGER HWY",
            "address_2": "SUITE 102",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48504",
            "telephone_number": "810-235-0668",
            "fax_number": "810-235-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PLAZA RADIOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MUKKAMALA",
        "authorized_official_first_name": "APPARAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-424-4761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "MI",
            "license": "4301031703",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MI",
            "license": "4301042515",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301031588",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301034123",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301057046",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301034675",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301037709",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301046932",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301406912",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MI",
            "license": "4301037112",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS COMMON PROVIDER CODE",
            "identifier": "0B56014",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.