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NORTHEASTERN MICHIGAN CANCER CENTER
NPI 1275567869
Radiology - Radiation Oncology in Alpena, MI

Active since July 10, 2006
1501 WEST CHISHOLM ST, ALPENA, MI 49707(989) 356-7597 Get Directions Write a Review

NPPES record last updated: October 8, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Northeastern Michigan Cancer Center NPPES

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

NORTHEASTERN MICHIGAN CANCER CENTER (NPI 1275567869) is a healthcare organization registered as a radiation oncology in Alpena, Michigan and active in the NPI registry since July 2006. The organization lists George Smart, Vp, as its authorized official.

NPPES Registry Identity

NPI1275567869
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NameNORTHEASTERN MICHIGAN CANCER CENTER
Location Address1501 WEST CHISHOLM STAlpena, MI 49707
Mailing Address1501 W Chisholm StreetAlpena, MI 49707 · (989) 356-7597
Phone(989) 356-7597
Organization SubpartNo
Authorized OfficialGeorge SmartVp · (989) 356-7597
Enumeration DateJuly 10, 2006
Last NPPES UpdateOctober 8, 2015
✔ NPI 1275567869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
1501 WEST CHISHOLM ST, Alpena, MI 49707
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Other Identifiers 2

Other320Z410160MI · Bcbs
Medicare PINN29000MI

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.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northeastern Michigan Cancer Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20040417000515Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Northeastern Michigan Cancer Center, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (15)

Patrick Mclaughlin, MD
Radiation Oncology
NPI 1871685271
47601 GRAND RIVER
Novi, MI 48374
(248) 465-4300
✔ PECOS✔ Accepts Medicare179 mi
June Chan, MD
Radiation Oncology
NPI 1083706485
22301 FOSTER WINTER DR
Southfield, MI 48075
(248) 849-3000
✔ PECOS✔ Accepts Medicare181 mi
Terri Bott-Kothari, MD
Radiation Oncology
NPI 1558386607
5950 METRO WAY SW
Wyoming, MI 49519
(616) 252-8160
✔ PECOS✔ Accepts Medicare190 mi
Michelle Kim, M.D.
Radiation Oncology
NPI 1972777175
1500 E MEDICAL CENTER DRIVE B2 FLOOR UNIVERSITY HOSPITAL RM C490
Ann Arbor, MI 48109
(734) 936-4300
✔ PECOS✔ Accepts Medicare193 mi
Michelle Mierzwa, MD
Radiation Oncology
NPI 1043421340
1500 E MEDICAL CENTER DRIVE B2 FLOOR UNIVERSITY HOSPITAL RM C490
Ann Arbor, MI 48109
(734) 936-4300
✔ PECOS✔ Accepts Medicare193 mi
James Hayman, MD
Radiation Oncology
NPI 1245322643
1500 E MEDICAL CENTER DR
Ann Arbor, MI 48109
(734) 936-4000
✔ PECOS✔ Accepts Medicare193 mi
Jason Hearn, MD
Radiation Oncology
NPI 1437475274
1500 E MEDICAL CENTER DR
Ann Arbor, MI 48109
(734) 936-4000
✔ PECOS✔ Accepts Medicare193 mi
Borislav Hristov, MD
Radiation Oncology
NPI 1972672392
1500 E MEDICAL CENTER DR
Ann Arbor, MI 48109
(734) 936-4000
✔ PECOS✔ Accepts Medicare193 mi
Theodore Lawrence, MD
Radiation Oncology
NPI 1144312547
1500 E MEDICAL CENTER DR
Ann Arbor, MI 48109
(734) 936-4000
✔ PECOS✔ Accepts Medicare193 mi
Daniel Wahl, M.D., PH.D.
Radiation Oncology
NPI 1891052262
1500 E MEDICAL CENTER DR
Ann Arbor, MI 48109
(734) 936-5000
✔ PECOS✔ Accepts Medicare193 mi
Annette Kretzler, M.D.
Radiation Oncology
NPI 1942328414
1102 E MICHIGAN AVE
Jackson, MI 49201
(517) 780-7299
✔ PECOS✔ Accepts Medicare201 mi
Daniel Spratt, M.D.
Radiation Oncology
NPI 1780905901
11100 EUCLID AVE
Cleveland, OH 44106
(216) 844-1700
✔ PECOS✔ Accepts Medicare263 mi
Peter Lai, M.D.
Radiation Oncology
NPI 1629085022
520 S 7TH ST
Vincennes, IN 47591
(812) 885-3939
✔ PECOS489 mi
Corey Speers, M.D., PH.D.
Radiation Oncology
NPI 1932429172
1700 6TH AVE S
Birmingham, AL 35233
(205) 996-3130
✔ PECOS✔ Accepts Medicare818 mi
Michael Green, MD, PHD
Radiation Oncology
NPI 1053722918
188 W NORTHERN LIGHTS BLVD STE 100
Anchorage, AK 99503
(907) 562-2002
✔ PECOS✔ Accepts Medicare2,830 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 Northeastern Michigan Cancer Center's NPI number?

The NPI number for Northeastern Michigan Cancer Center is 1275567869. It was assigned to this organization in the NPPES registry on July 10, 2006.

Where is Northeastern Michigan Cancer Center located?

Northeastern Michigan Cancer Center is located at 1501 West Chisholm St, Alpena, MI 49707. The listed phone number is (989) 356-7597.

What is Northeastern Michigan Cancer Center's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Northeastern Michigan Cancer Center enrolled in Medicare?

Yes. Northeastern Michigan Cancer Center is registered in the Medicare PECOS enrollment system.

When is Northeastern Michigan Cancer Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Northeastern Michigan Cancer Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians, all in Radiation Oncology, reassign their Medicare billing to Northeastern Michigan Cancer Center. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northeastern Michigan Cancer Center accept?

Health plans from Blue Care Network of Michigan list Northeastern Michigan Cancer Center 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 Northeastern Michigan Cancer Center was last updated on October 8, 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.