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RADIOLOGY GROUP LLC
NPI 1528513199
Health Educator in Warren, MI

Active since August 23, 2016
27789 MOUND RD STE 100, WARREN, MI 48092(313) 209-3353(313) 406-7255 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 30, 2021, Aug 23, 2016 (2 updates tracked since 2016).

About Radiology Group Llc NPPES

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

RADIOLOGY GROUP LLC (NPI 1528513199) is a healthcare organization registered as a health educator in Warren, Michigan and active in the NPI registry since August 2016. The organization lists Sam Hackette, Manager, as its authorized official.

NPPES Registry Identity

NPI1528513199
Entity TypeOrganization
Primary Taxonomy174H00000X
Legal Business NameRADIOLOGY GROUP LLC
Location Address27789 MOUND RD STE 100Warren, MI 48092-2697
Mailing Address42383 Garfield Rd Unit 380560Clinton Twp, MI 48038-7718 · (727) 422-4680 · Fax (313) 406-7255
Phone(313) 209-3353
Fax(313) 406-7255
Organization SubpartNo
Authorized OfficialSam HacketteManager · (727) 422-4680
Enumeration DateAugust 23, 2016
Last NPPES UpdateApril 30, 20212 updates tracked since enumeration
NPPES CertifiedApril 30, 2021
✔ NPI 1528513199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHealth EducatorOther Service Providers
Taxonomy Code174H00000X
License✔ Licensed in MI · 1043253602
Definition
Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work.
27789 MOUND RD STE 100, Warren, MI 48092
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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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Radiology Group LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sam Hakki Hackette, MD
Orthopedic Surgery
NPI 1043253602
27789 MOUND RD STE 100
Warren, MI 48092
(313) 209-3353
✔ PECOSSame address

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 Radiology Group LLC's NPI number?

The NPI number for Radiology Group LLC is 1528513199. It was assigned to this organization in the NPPES registry on August 23, 2016.

Where is Radiology Group LLC located?

Radiology Group LLC is located at 27789 Mound Rd Ste 100, Warren, MI 48092. The listed phone number is (313) 209-3353.

What is Radiology Group LLC's specialty?

The primary specialty registered for this NPI is Health Educator with taxonomy code 174H00000X.

Is Radiology Group LLC enrolled in Medicare?

Yes. Radiology Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Radiology Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Radiology Group LLC. 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.

When was this NPI record last updated?

The NPPES record for Radiology Group LLC was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.