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GREEN BAY RADIOLOGY SC
NPI 1447327986
Radiology - Diagnostic Radiology in Green Bay, WI

Active since November 29, 2006
2941 S RIDGE RD, GREEN BAY, WI 54304(920) 336-4096(920) 336-8093 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 29, 2026, Mar 5, 2024 (2 updates tracked since 2024).

About Green Bay Radiology Sc NPPES

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

GREEN BAY RADIOLOGY SC (NPI 1447327986) is a healthcare organization registered as a diagnostic radiology in Green Bay, Wisconsin and active in the NPI registry since November 2006. The organization lists Jimmy Dado, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1447327986
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameGREEN BAY RADIOLOGY SC
Location Address2941 S RIDGE RDGreen Bay, WI 54304-5517
Mailing Address2941 S Ridge RdGreen Bay, WI 54304-5517 · (920) 336-4096 · Fax (920) 336-8093
Phone(920) 336-4096
Fax(920) 336-8093
Organization SubpartNo
Authorized OfficialJimmy DadoDirector Of Revenue Cycle · (614) 325-8899
Enumeration DateNovember 29, 2006
Last NPPES UpdateMay 29, 20262 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1447327986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X
2941 S RIDGE RD, Green Bay, WI 54304
Open in Google Maps ↗

Other Identifiers 1

Medicaid32692400WI

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan.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)

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

Clinicians Billing Medicare Through This Organization

27

Medicare enrollment records show 27 clinicians reassign Medicare billing to Green Bay Radiology Sc, which bills Medicare for the services they deliver. Of these, 16 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Diagnostic Radiology25
Interventional Radiology1
Nurse Practitioner1

Nearest to this location (20)

See all 27
Jeremy Mccue, MD
Diagnostic Radiology
NPI 1033187927
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts MedicareSame address
Nami Zarvan, MD
Diagnostic Radiology
NPI 1003962416
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts MedicareSame address
Joshua Riebe, MD
Diagnostic Radiology
NPI 1619023009
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts MedicareSame address
Tyler Bailey, MD
Diagnostic Radiology
NPI 1447480256
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts MedicareSame address
David Balison, MD
Diagnostic Radiology
NPI 1245307719
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts MedicareSame address
Elisabeth Ballard, MD
Diagnostic Radiology
NPI 1760543532
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts MedicareSame address
Mehul Doshi, MD
Diagnostic Radiology
NPI 1578514287
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts MedicareSame address
Henry Feider, MD
Diagnostic Radiology
NPI 1407901481
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts MedicareSame address
Frederick Joachim, M.D.
Diagnostic Radiology
NPI 1669738043
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts MedicareSame address
Kristin Joachim, MD
Diagnostic Radiology
NPI 1497198022
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts MedicareSame address
Ryan Peirce, M.D.
Diagnostic Radiology
NPI 1790704724
2941 S RIDGE RD
Green Bay, WI 54304
(920) 964-0480
✔ PECOS✔ Accepts MedicareSame address
Ronan Smyth, MD
Diagnostic Radiology
NPI 1578619979
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts MedicareSame address
Ian Sproat, MD
Diagnostic Radiology
NPI 1174679575
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts MedicareSame address
Dennis Bielke, MD
Diagnostic Radiology
NPI 1073668059
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOSSame address
William Mallory, M.D.
Diagnostic Radiology
NPI 1083630776
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts MedicareSame address
James Sladky, MD
Diagnostic Radiology
NPI 1053467456
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts MedicareSame address
Nicholas Johnson, M.D.
Diagnostic Radiology
NPI 1548520695
835 S VAN BUREN ST
Green Bay, WI 54301
(920) 433-0111
✔ PECOS✔ Accepts Medicare4.2 mi
Robert Haller, MD
Diagnostic Radiology
NPI 1952339814
2845 GREENBRIER RD
Green Bay, WI 54311
(920) 288-4930
✔ PECOS✔ Accepts Medicare7.2 mi
Heidi Bruckert
Nurse Practitioner
NPI 1831681402
1300 E GREEN BAY ST
Shawano, WI 54166
(715) 201-0870
✔ PECOS✔ Accepts Medicare32 mi
Sean Lehner, MD
Diagnostic Radiology
NPI 1366671125
9200 W WISCONSIN AVE DEPT OF RADIOLOGY
Milwaukee, WI 53226
(414) 805-3700
✔ PECOS✔ Accepts Medicare99 mi
See all 27 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 Green Bay Radiology Sc's NPI number?

The NPI number for Green Bay Radiology Sc is 1447327986. It was assigned to this organization in the NPPES registry on November 29, 2006.

Where is Green Bay Radiology Sc located?

Green Bay Radiology Sc is located at 2941 S Ridge Rd, Green Bay, WI 54304. The listed phone number is (920) 336-4096.

What is Green Bay Radiology Sc's specialty?

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

Is Green Bay Radiology Sc enrolled in Medicare?

Yes. Green Bay Radiology Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Green Bay Radiology Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 3 Medicare specialties reassign their Medicare billing to Green Bay 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. The largest specialties are Diagnostic Radiology (25), Interventional Radiology (1) and Nurse Practitioner (1). Of these, 16 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Green Bay Radiology Sc accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Dean Health Plan list Green Bay 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 Green Bay Radiology Sc was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.