Marie Konczalski, MD
NPI 1104886894 · Diagnostic Radiology Physician · Troy, MI
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1104886894
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 4301405979 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
811 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Screening Mammography77067 | 329 | $36 |
| Screening 3d Breast Mammography77063 | 251 | $28 |
| Diagnostic Mammography of 1 Breast77065 | 69 | $38 |
| Limited Ultrasound Scan of 1 Breast76642 | 55 | $34 |
| Diagnostic Digital Breast Tomosynthesis, Unilateral Or Bilateral (list Separately in Addition to 77065 Or 77066)G0279 | 54 | $28 |
| Diagnostic Mammography of Both Breasts77066 | 32 |
Practice location
Mailing address
Additional practice locations (4)
- 36555 26 Mile Rd Ste 1400Lenox, MI 48048-3186Phone: (947) 523-4020Fax: (947) 523-4021
- 36555 26 Mile Rd Ste 3000Lenox, MI 48048-3185Phone: (947) 523-4040Fax: (947) 523-4041
- 15959 Hall RdMacomb, MI 48044-5363Phone: (248) 964-5190Fax: (248) 964-5199
- 44250 Dequindre RdSterling Heights, MI 48314-1002Phone: (248) 964-5190Fax: (248) 964-5199
Registry dates
- Enumerated
- 2006-03-25
- Last updated
- 2026-06-01
- Certified
- 2026-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.