Great Lakes Radiology Services
NPI 1891529111 · Diagnostic Radiology Physician · Plymouth, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Great Lakes Radiology Services is a Diagnostic Radiology Physician organization in Plymouth, MI (NPI 1891529111).
Provider details
- NPI number
- 1891529111
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brian Madison, Organizer(734) 673-3764
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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.
Practice location
Mailing address
Additional practice locations (1)
- 4501 Bruce B Downs BlvdWesley Chapel, FL 33544-9216Phone: (813) 914-1000
Registry dates
- Enumerated
- 2024-08-28
- Last updated
- 2025-09-05
- Certified
- 2025-09-05
Frequently asked questions
- What is Great Lakes Radiology Services's NPI number?
- Great Lakes Radiology Services's National Provider Identifier (NPI) is 1891529111, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Radiology Services?
- Great Lakes Radiology Services is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Great Lakes Radiology Services located?
- Great Lakes Radiology Services's practice location on file with NPPES is 729 W Ann Arbor Trl Ste 2, Plymouth, MI 48170-6225.
- What is Great Lakes Radiology Services's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Radiology Services is (734) 673-3764.
- Does Great Lakes Radiology Services accept Medicare?
- Great Lakes Radiology Services is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Great Lakes Radiology Services?
- The authorized official listed on Great Lakes Radiology Services's NPPES record is Brian Madison, Organizer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Radiology Services's NPI active?
- Yes — Great Lakes Radiology Services's NPI (1891529111) is active in the NPPES registry as of the last update on 2025-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.