PORTAGE RADIOLOGY, SC
NPI 1104834811
Radiology - Diagnostic Radiology in Portage, WI

Active since August 04, 2006
2817 NEW PINERY RD, PORTAGE, WI 53901(608) 742-4131(608) 826-2710 Get Directions Write a Review

NPPES record last updated: May 9, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Portage Radiology, Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORTAGE RADIOLOGY, SC (NPI 1104834811) is a healthcare organization registered as a diagnostic radiology in Portage, Wisconsin and active in the NPI registry since August 2006. The organization lists Craig N Magnes, Owner, as its authorized official.

NPPES Registry Identity

NPI1104834811
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NamePORTAGE RADIOLOGY, SC
Location Address2817 NEW PINERY RDPortage, WI 53901-9257
Mailing Address2817 New Pinery RdPortage, WI 53901-9257 · (608) 742-4131 · Fax (608) 826-2710
Fax(608) 826-2710
Organization SubpartNo
Authorized OfficialCraig N MagnesOwner · (608) 742-4131
Enumeration DateAugust 4, 2006
Last NPPES UpdateMay 9, 2018
✔ NPI 1104834811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2817 NEW PINERY RD, Portage, WI 53901

Other Identifiers 1

Medicaid21266400WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Portage Radiology, Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Portage Radiology, Sc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Diagnostic Radiology
NPI 1346258068
2817 NEW PINERY RD
Portage, WI 53901
(608) 742-4131
✔ PECOSSame address
Diagnostic Radiology
NPI 1386604346
6701 SEYBOLD RD STE 204
Madison, WI 53719
(608) 271-7015
✔ PECOS36 mi
Diagnostic Radiology
NPI 1841212016
111 E WISCONSIN AVE
Milwaukee, WI 53202
(414) 290-6720
✔ PECOS✔ Accepts Medicare87 mi
Diagnostic Radiology
NPI 1073619623
2705 RIB MOUNTAIN WAY
Wausau, WI 54401
(715) 302-0130
✔ PECOS✔ Accepts Medicare95 mi
Diagnostic Radiology
NPI 1962717579
2650 RIDGE AVE
Evanston, IL 60201
(801) 433-8693
✔ PECOS✔ Accepts Medicare138 mi
Diagnostic Radiology
NPI 1144208273
1024 N MAIN ST
Rice Lake, WI 54868
(715) 234-8151
✔ PECOS✔ Accepts Medicare175 mi
Diagnostic Radiology
NPI 1598735169
29215 CHESTNUT CT
Farmington Hills, MI 48334
(248) 417-6066
✔ PECOS✔ Accepts Medicare319 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Portage Radiology, Sc's NPI number?

The NPI number for Portage Radiology, Sc is 1104834811. It was assigned to this organization in the NPPES registry on August 4, 2006.

Where is Portage Radiology, Sc located?

Portage Radiology, Sc is located at 2817 New Pinery Rd, Portage, WI 53901. The listed phone number is (608) 742-4131.

What is Portage Radiology, Sc's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Portage Radiology, Sc enrolled in Medicare?

Yes. Portage Radiology, Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Portage Radiology, Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Portage Radiology, Sc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Portage Radiology, Sc accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Dean Health Plan and Quartz list Portage Radiology, Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Portage Radiology, Sc was last updated on May 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.