Individual provider Active NPI

Frank A Randazzo, M.D.

  • Diagnostic Radiology Physician
  • Clinton Township, MI
National Provider Identifier
1982662326
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301076057 Issued in MI
Practice address
36175 Harper Ave
Clinton Township, MI 48035-3274
Phone
(586) 741-3772
Fax
(586) 741-4604
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301076057 MI Primary

Addresses

Primary practice location

36175 Harper Ave
Clinton Township, MI 48035-3274

Mailing address

36175 Harper Ave
Clinton Township, MI 48035-3274
Phone (586) 741-3772

Other identifiers 9

IdentifierTypeStateIssuer
0Q26008OtherMIBLUE CARE NETWORK
0Q26008OtherMIBCBS OF MICHIGAN
495680OtherMIHAP
P00329839OtherRR MEDICARE
0H26188OtherMIBCBS OF MICHIGAN
SJ820005OtherMIMCARE
1111920004OtherWELLNESS PLAN
1006439OtherMIMCCLAREN
4864780MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060622000104 MI Practitioner - Diagnostic Radiology 6305858945 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wayne State University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Urgent CareGroup PAC ID 6901296110, 111 clinicians
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians
Proscan Imaging Southfield PLLCGroup PAC ID 0446591432, 4 clinicians
Novello Imaging PLCGroup PAC ID 3476968686, 4 clinicians

Practice addresses (Care Compare)

15717 15 Mile Rd
Clinton Township, MI 48035-2101
Phone (586) 285-3800

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600

29877 Telegraph Rd
Suite 11
Southfield, MI 48034-1332
Phone (248) 354-5511

30795 23 Mile Rd
Chesterfield, MI 48047-5720
Phone (586) 421-3000

40463 S Groesbeck Hwy
Clinton Township, MI 48036-5005
Phone (586) 300-9114

4290 Copper Ridge Dr
Suite 100
Traverse City, MI 49684-7208
Phone (231) 421-8505

71050 Van Dyke Rd
Bruce TWP, MI 48065-3898
Phone (586) 277-0244

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eastpointe Radiologists, PC Diagnostic Radiology Current Accepting new patients
Henry Ford Health System Diagnostic Radiology CurrentSince Dec 12, 2019 Accepting new patients
Novello Imaging PLC CurrentSince Apr 1, 2024 Accepting new patients
Henry Ford Macomb Hospital Corporation Diagnostic Radiology CurrentSince Dec 12, 2019 Accepting new patients
Henry Ford Macomb Ancillary Services Current Accepting new patients
Dr Richard Burke Pain and Neuromodulation PLLC CurrentSince Apr 1, 2024 Accepting new patients
Henry Ford Urgent Care CurrentSince Feb 1, 2022 Accepting new patients
Internal Medicine Associates of Mt. Clemens, PC Current Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Macomb Hospital Corporation Diagnostic Radiology CurrentSince Dec 12, 2019 Accepting new patients
Henry Ford Macomb Hospital Corporation Current Accepting new patients
Alliance Health Professionals, PLLC CurrentSince Jan 1, 2015 Accepting new patients
Henry Ford Health System CurrentSince Dec 12, 2019 Accepting new patients
Proscan Imaging Southfield PLLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Amd Southfield Michigan - Limited Partnership PastSince Aug 1, 2024 Accepting new patients

Locations

2689 Solution Ctr
Chicago, IL 60677

51307 Gratiot Ave
Chesterfield, MI 48051
Phone (586) 741-3772

36175 Harper Ave
Clinton Twp, MI 48035
Phone (586) 741-3772

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1625 Leonard St NE
Ste C
Grand Rapids, MI 49505
Phone (616) 288-9446

1625 Leonard St NE
Grand Rapids, MI 49505
Phone (516) 288-9446

21003 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 881-0411

133 S Main St
Mount Clemens, MI 48043
Phone (586) 329-1880

29877 Telegraph Rd
Ste 11
Southfield, MI 48034
Phone (248) 354-5511

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

Interoperability endpoints

  • Direct secure messaging: frandazzo253066@direct.hfhs.org

Organizations & group practices 15

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.

View all 15

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1982662326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36175 HARPER AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480353274",
            "telephone_number": "586-741-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36175 HARPER AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480353274",
            "telephone_number": "586-741-3772",
            "fax_number": "586-741-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDAZZO",
        "first_name": "FRANK",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301076057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "0Q26008",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "0Q26008",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "495680",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00329839",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "0H26188",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "SJ820005",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLNESS PLAN",
            "identifier": "1111920004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCCLAREN",
            "identifier": "1006439",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4864780",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.