NORTHLAND RADIOLOGY INC
NPI 1386804060
Radiology - Diagnostic Radiology in Southfield, MI

Active since June 16, 2008
20905 GREENFIELD RD, SUITE 105, SOUTHFIELD, MI 48075(248) 569-0296(248) 569-3390 Get Directions Write a Review

NPPES record last updated: November 13, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Northland Radiology Inc NPPES

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

NORTHLAND RADIOLOGY INC (NPI 1386804060) is a healthcare organization registered as a diagnostic radiology in Southfield, Michigan and active in the NPI registry since June 2008. The organization lists Prakash B Gandhi, Administrator, as its authorized official.

NPPES Registry Identity

NPI1386804060
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameNORTHLAND RADIOLOGY INC
Location Address20905 GREENFIELD RD, SUITE 105Southfield, MI 48075-5344
Mailing Address26222 Telegraph Rd, Suite 100Southfield, MI 48033-5318 · (248) 827-7200 · Fax (248) 827-2641
Fax(248) 569-3390
Organization SubpartNo
Authorized OfficialPrakash B GandhiAdministrator · (284) 827-7200
Enumeration DateJune 16, 2008
Last NPPES UpdateNovember 13, 2013
✔ NPI 1386804060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ 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.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedNuclear MedicineTaxonomy 207U00000X
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X
Also ListedSurgeryTaxonomy 208600000X
20905 GREENFIELD RD, Southfield, MI 48075

Other Identifiers 1

Medicare PIN0M48990MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

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

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

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 IDO20040214000016Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

47

Medicare enrollment records show 47 clinicians reassign Medicare billing to Northland Radiology Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Diagnostic Radiology13
Certified Registered Nurse Anesthetist (CRNA)6
Anesthesiology5
Neurology5
Cardiovascular Disease (Cardiology)4
Physical Medicine and Rehabilitation4
Internal Medicine2
Interventional Pain Management2
5 other specialties6

Nearest to this location (20)

See all 47
Physical Medicine and Rehabilitation
NPI 1194759555
20905 GREENFIELD ROAD
Southfield, MI 48075
(248) 827-7200
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1780144709
20905 GREENFIELD RD
Southfield, MI 48075
(248) 569-0296
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1225096050
29201 TELEGRAPH RD STE 400
Southfield, MI 48034
(248) 949-9888
✔ PECOS✔ Accepts Medicare5.9 mi
Cardiovascular Disease (Cardiology)
NPI 1093927972
29877 TELEGRAPH RD SUITE 400
Southfield, MI 48034
(248) 799-2600
✔ PECOS✔ Accepts Medicare6.1 mi
Diagnostic Radiology
NPI 1689613952
28050 GRAND RIVER AVE
Farmington Hills, MI 48336
(258) 615-7204
✔ PECOS✔ Accepts Medicare6.3 mi
Diagnostic Radiology
NPI 1013171941
28050 GRAND RIVER AVE
Farmington Hills, MI 48336
(947) 521-8000
✔ PECOS✔ Accepts Medicare6.3 mi
Diagnostic Radiology
NPI 1982774469
28050 GRAND RIVER AVE
Farmington Hills, MI 48336
(947) 521-8000
✔ PECOS✔ Accepts Medicare6.3 mi
Diagnostic Radiology
NPI 1194847038
2799 W GRAND BLVD
Detroit, MI 48202
(313) 916-7425
✔ PECOS8.0 mi
Cardiovascular Disease (Cardiology)
NPI 1538131511
8282 WOODWARD AVE
Detroit, MI 48202
(313) 874-3440
✔ PECOS✔ Accepts Medicare8.0 mi
Nurse Practitioner
NPI 1972016913
1 FORD PL STE 2C40
Detroit, MI 48202
(313) 586-3230
✔ PECOS8.0 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1699909549
34020 7 MILE RD STE 101
Livonia, MI 48152
(248) 516-5016
✔ Accepts Medicare8.8 mi
Pain Management
NPI 1568751550
34020 7 MILE RD STE 101
Livonia, MI 48152
(248) 516-5016
✔ PECOS✔ Accepts Medicare8.8 mi
Diagnostic Radiology
NPI 1023218153
32255 NORTHWESTERN HWY STE 100
Farmington Hills, MI 48334
(248) 945-0000
✔ PECOS✔ Accepts Medicare9.2 mi
Interventional Cardiology
NPI 1619310885
32255 NORTHWESTERN HWY STE 115
Farmington Hills, MI 48334
(248) 587-2300
✔ PECOS✔ Accepts Medicare9.2 mi
Anesthesiology
NPI 1235346420
4201 SAINT ANTOINE ST
Detroit, MI 48201
(989) 400-3169
✔ PECOS✔ Accepts Medicare9.9 mi
Physical Medicine and Rehabilitation
NPI 1770898090
261 MACK AVE STE 188
Detroit, MI 48201
(313) 745-4600
✔ PECOS✔ Accepts Medicare10 mi
Anesthesiology
NPI 1760550578
HENRY FORD HEALTH SYSTEM 2799 WEST GRAND BOULEVARD
Detroit, MI 48202
(313) 916-2436
✔ PECOS✔ Accepts Medicare10 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1346207206
5456 15 MILE RD SUITE 101
Sterling Heights, MI 48310
(586) 977-7246
✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1679946016
18101 OAKWOOD BLVD
Dearborn, MI 48124
(313) 593-7000
✔ PECOS✔ Accepts Medicare11 mi
Interventional Radiology
NPI 1588871826
4648 JOHN R ST JOHN DINGELL VA MEDICAL CENTER
Detroit, MI 48201
(313) 745-3430
✔ PECOS✔ Accepts Medicare11 mi
See all 47 clinicians

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 Northland Radiology Inc's NPI number?

The NPI number for Northland Radiology Inc is 1386804060. It was assigned to this organization in the NPPES registry on June 16, 2008.

Where is Northland Radiology Inc located?

Northland Radiology Inc is located at 20905 Greenfield Rd Suite 105, Southfield, MI 48075. The listed phone number is (248) 569-0296.

What is Northland Radiology Inc's specialty?

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

Is Northland Radiology Inc enrolled in Medicare?

Yes. Northland Radiology Inc is registered in the Medicare PECOS enrollment system.

When is Northland Radiology Inc'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 October 31, 2026. 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 Northland Radiology Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 47 clinicians in 13 Medicare specialties reassign their Medicare billing to Northland Radiology Inc. 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. The largest specialties are Diagnostic Radiology (13), Certified Registered Nurse Anesthetist (CRNA) (6) and Anesthesiology (5). Of these, 2 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northland Radiology Inc was last updated on November 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.