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PETOSKEY RADIATION ONCOLOGY, PLC
NPI 1750832705
Radiology - Radiation Oncology in Petoskey, MI

Active since October 14, 2016
416 CONNABLE AVE, RADIOLOGY DEPT, PETOSKEY, MI 49770(231) 487-4209(231) 487-7840 Get Directions Write a Review

NPPES record last updated: October 14, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Petoskey Radiation Oncology, Plc NPPES

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

PETOSKEY RADIATION ONCOLOGY, PLC (NPI 1750832705) is a healthcare organization registered as a radiation oncology in Petoskey, Michigan and active in the NPI registry since October 2016. The organization lists Thomas P Boike, Authorized Signer, as its authorized official.

NPPES Registry Identity

NPI1750832705
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NamePETOSKEY RADIATION ONCOLOGY, PLC
Location Address416 CONNABLE AVE, RADIOLOGY DEPTPetoskey, MI 49770-2212
Mailing Address416 Connable Ave, Radiology DeptPetoskey, MI 49770-2212 · (231) 487-4209 · Fax (231) 487-7840
Phone(231) 487-4209
Fax(231) 487-7840
Organization SubpartNo
Authorized OfficialThomas P BoikeAuthorized Signer · (231) 487-4209
Enumeration DateOctober 14, 2016
✔ NPI 1750832705 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.
416 CONNABLE AVE, Petoskey, MI 49770
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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, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

Petoskey Radiation Oncology, Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Petoskey Radiation Oncology, Plc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Pedro Zamora, M.D.
Radiation Oncology
NPI 1740713338
416 CONNABLE AVE
Petoskey, MI 49770
(231) 487-4209
✔ PECOS✔ Accepts MedicareSame address
Isaac Kaufman, M.D.
Radiation Oncology
NPI 1821230921
1105 6TH STREET
Traverse City, MI 49684
(231) 935-5000
✔ PECOS✔ Accepts Medicare54 mi
Nathan Kaufman, M.D
Radiation Oncology
NPI 1275537144
425 JACK MARTIN BLVD
Brick, NJ 08724
(732) 836-4130
✔ PECOS661 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 Petoskey Radiation Oncology, Plc's NPI number?

The NPI number for Petoskey Radiation Oncology, Plc is 1750832705. It was assigned to this organization in the NPPES registry on October 14, 2016.

Where is Petoskey Radiation Oncology, Plc located?

Petoskey Radiation Oncology, Plc is located at 416 Connable Ave Radiology Dept, Petoskey, MI 49770. The listed phone number is (231) 487-4209.

What is Petoskey Radiation Oncology, Plc's specialty?

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

Is Petoskey Radiation Oncology, Plc enrolled in Medicare?

Yes. Petoskey Radiation Oncology, Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Petoskey Radiation Oncology, Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Radiation Oncology, reassign their Medicare billing to Petoskey Radiation Oncology, Plc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Petoskey Radiation Oncology, Plc accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Petoskey Radiation Oncology, Plc 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 Petoskey Radiation Oncology, Plc was last updated on October 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.