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BOTSFORD MEDICAL IMAGING, PC
NPI 1124073762
Radiology - Diagnostic Radiology in Farmington Hills, MI

Active since May 23, 2006
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336(248) 471-8371 Get Directions Write a Review

NPPES record last updated: February 24, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Botsford Medical Imaging, Pc NPPES

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

BOTSFORD MEDICAL IMAGING, PC (NPI 1124073762) is a healthcare organization registered as a diagnostic radiology in Farmington Hills, Michigan and active in the NPI registry since May 2006. The organization lists Timothy Mcknight, Head Of Group, as its authorized official.

NPPES Registry Identity

NPI1124073762
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameBOTSFORD MEDICAL IMAGING, PC
Location Address28050 GRAND RIVER AVEFarmington Hills, MI 48336-5919
Mailing Address28050 Grand River AveFarmington Hills, MI 48336-5919 · (248) 471-8371
Phone(248) 471-8371
Organization SubpartNo
Authorized OfficialTimothy McknightHead Of Group · (248) 471-8371
Enumeration DateMay 23, 2006
Last NPPES UpdateFebruary 24, 2015
✔ NPI 1124073762 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.
28050 GRAND RIVER AVE, Farmington Hills, MI 48336
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Other Identifiers 10

OtherXX25381MI · Healthplus Of Mi
OtherRA630003MI · M-care
Other4468121MI · Aetna
Other025821MI · Midwest Health Plan
Other0F31877MI · Blue Cross Blue Shield
Other600970MI · Ultimed
Other005741MI · Hap
Other506640MI · Preferred Choices
Other506640MI · Care Choices
Other136309000MI · Us Dept Of Labor Workcomp

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Priority Health.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)

Botsford Medical Imaging, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Botsford Medical Imaging, PC, which bills Medicare for the services they deliver. Of these, 8 practice at this address. They are listed nearest first.

Clinicians, nearest first (10)

Reehan Ali, D.O.
Diagnostic Radiology
NPI 1619289501
28050 GRAND RIVER AVE BOTSFORD HOSPITAL
Farmington Hills, MI 48336
(947) 521-8000
✔ PECOS✔ Accepts MedicareSame address
Elias Antypas
Diagnostic Radiology
NPI 1013171941
28050 GRAND RIVER AVE
Farmington Hills, MI 48336
(947) 521-8000
✔ PECOS✔ Accepts MedicareSame address
Sarika Joshi, MD
Diagnostic Radiology
NPI 1386887750
28050 GRAND RIVER AVE
Farmington Hills, MI 48336
(947) 521-8000
✔ PECOS✔ Accepts MedicareSame address
Kristin Kamienecki, D.O.
Diagnostic Radiology
NPI 1912119207
28050 GRAND RIVER AVE
Farmington Hills, MI 48336
(248) 471-8374
✔ PECOS✔ Accepts MedicareSame address
Naveen Malay, M.D
Diagnostic Radiology
NPI 1033438098
28050 GRAND RIVER AVE
Farmington Hills, MI 48336
(947) 521-8000
✔ PECOS✔ Accepts MedicareSame address
Timothy Mcknight, D.O.
Diagnostic Radiology
NPI 1376755470
28050 GRAND RIVER AVE
Farmington Hills, MI 48336
(248) 470-4657
✔ PECOS✔ Accepts MedicareSame address
Andrew Mizzi, DO
Diagnostic Radiology
NPI 1982774469
28050 GRAND RIVER AVE
Farmington Hills, MI 48336
(947) 521-8000
✔ PECOS✔ Accepts MedicareSame address
Rocky Saenz, DO
Diagnostic Radiology
NPI 1689613952
28050 GRAND RIVER AVE
Farmington Hills, MI 48336
(258) 615-7204
✔ PECOS✔ Accepts MedicareSame address
Michael Legacy, D.O.
Diagnostic Radiology
NPI 1831545953
2799 W GRAND BLVD
Detroit, MI 48202
(313) 916-7952
✔ PECOS✔ Accepts Medicare13 mi
Maqsood Khan
Diagnostic Radiology
NPI 1003376823
52 UNDERWOOD ST
Orlando, FL 32806
(321) 842-8475
✔ PECOS✔ Accepts Medicare966 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 Botsford Medical Imaging, PC's NPI number?

The NPI number for Botsford Medical Imaging, PC is 1124073762. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Botsford Medical Imaging, PC located?

Botsford Medical Imaging, PC is located at 28050 Grand River Ave, Farmington Hills, MI 48336. The listed phone number is (248) 471-8371.

What is Botsford Medical Imaging, PC's specialty?

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

Is Botsford Medical Imaging, PC enrolled in Medicare?

Yes. Botsford Medical Imaging, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Botsford Medical Imaging, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Botsford Medical Imaging, PC. 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, 8 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Botsford Medical Imaging, PC accept?

Health plans from Blue Care Network of Michigan and Priority Health list Botsford Medical Imaging, PC 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 Botsford Medical Imaging, PC was last updated on February 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.