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HENRY FORD MACOMB IMAGING CENTER-MT. CLEMENS
NPI 1689062911
Clinic/Center - Radiology in Mount Clemens, MI

Active since January 09, 2015
133 S MAIN ST, MOUNT CLEMENS, MI 48043(586) 468-1600(586) 465-0329 Get Directions Write a Review

NPPES record last updated: March 3, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Henry Ford Macomb Imaging Center-mt. Clemens NPPES

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

HENRY FORD MACOMB IMAGING CENTER-MT. CLEMENS (NPI 1689062911) is a healthcare organization registered as a radiology in Mount Clemens, Michigan and active in the NPI registry since January 2015. The organization lists Terry Goodbalian, Vp Finance & Cfo Hfmacomb, as its authorized official.

NPPES Registry Identity

NPI1689062911
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameHENRY FORD MACOMB ANCILLARY SERVICES
Location Address133 S MAIN STMount Clemens, MI 48043-2308
Mailing Address15855 19 Mile Rd, Attn: Terry GoodbalianClinton Township, MI 48038-3504
Phone(586) 468-1600
Fax(586) 465-0329
Organization SubpartYesParent: Henry Ford Macomb Hospital Corporation
Authorized OfficialTerry GoodbalianVp Finance & Cfo Hfmacomb · (586) 263-2705
Enumeration DateJanuary 9, 2015
Last NPPES UpdateMarch 3, 2015
✔ NPI 1689062911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
Also ListedPhysiological LaboratoryTaxonomy 293D00000X
133 S MAIN ST, Mount Clemens, MI 48043
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Other Names 1

Other NameHenry Ford Macomb Imaging Center-mt. Clemens

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Henry Ford Macomb Imaging Center-mt. Clemens is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Henry Ford Macomb Imaging Center-Mt. Clemens, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Robert Chang, MD
Internal Medicine
NPI 1093712093
133 S MAIN ST
Mount Clemens, MI 48043
(586) 468-1600
✔ PECOS✔ Accepts MedicareSame address
Anthony Munaco, M.D.
Diagnostic Radiology
NPI 1134108368
36175 HARPER AVE
Clinton Township, MI 48035
(586) 741-3772
✔ PECOS✔ Accepts Medicare2.0 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 Henry Ford Macomb Ancillary Services's NPI number?

The NPI number for Henry Ford Macomb Ancillary Services is 1689062911. It was assigned to this organization in the NPPES registry on January 9, 2015. The provider is also known as Henry Ford Macomb Imaging Center-Mt. Clemens.

Where is Henry Ford Macomb Ancillary Services located?

Henry Ford Macomb Ancillary Services is located at 133 S Main St, Mount Clemens, MI 48043. The listed phone number is (586) 468-1600.

What is Henry Ford Macomb Ancillary Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Is Henry Ford Macomb Ancillary Services enrolled in Medicare?

Yes. Henry Ford Macomb Ancillary Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Henry Ford Macomb Ancillary Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Henry Ford Macomb Ancillary Services, in Diagnostic Radiology and Internal Medicine. 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, 1 practice at this address and 2 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 Henry Ford Macomb Ancillary Services was last updated on March 3, 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.