SOUTHFIELD RADIOLOGY ASSOCIATES PLLC
NPI 1871525915
Radiology - Diagnostic Radiology in Southfield, MI
About Southfield Radiology Associates Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHFIELD RADIOLOGY ASSOCIATES PLLC (NPI 1871525915) is a healthcare organization registered as a diagnostic radiology in Southfield, Michigan and active in the NPI registry since July 2006. The organization lists Edsa Negussie, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
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)
Southfield Radiology Associates Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
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.
Clinicians Billing Medicare Through This Organization
42Medicare enrollment records show 42 clinicians reassign Medicare billing to Southfield Radiology Associates PLLC, which bills Medicare for the services they deliver. Of these, 16 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 42Source: 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 Southfield Radiology Associates PLLC's NPI number?
The NPI number for Southfield Radiology Associates PLLC is 1871525915. It was assigned to this organization in the NPPES registry on July 7, 2006.
Where is Southfield Radiology Associates PLLC located?
Southfield Radiology Associates PLLC is located at 23100 Providence Dr Suite 420, Southfield, MI 48075. The listed phone number is (248) 569-4353.
What is Southfield Radiology Associates PLLC's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Southfield Radiology Associates PLLC enrolled in Medicare?
Yes. Southfield Radiology Associates PLLC is registered in the Medicare PECOS enrollment system.
When is Southfield Radiology Associates PLLC'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 February 28, 2027. 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 Southfield Radiology Associates PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 42 clinicians in 3 Medicare specialties reassign their Medicare billing to Southfield Radiology Associates PLLC. 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 (37), Interventional Radiology (4) and Nurse Practitioner (1). Of these, 16 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southfield Radiology Associates PLLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Southfield Radiology Associates PLLC 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 Southfield Radiology Associates PLLC was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Southfield Radiology Associates Pllc · NPI 1871525915
Diagnostic Radiology organization in Southfield, Michigan. Organization record, active in the CMS NPPES registry since July 7, 2006.
## Identity
- **NPI:** 1871525915 (Entity type: Organization)
- **Enumerated:** July 7, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Edsa Negussie, PRESIDENT
## Practice location
- **Address:** 23100 PROVIDENCE DR, SUITE 420, Southfield, MI 48075-3646
- **Phone:** (248) 569-4353 · **Fax:** (248) 569-5227
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 42 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (37), Interventional Radiology (4), Nurse Practitioner (1); 16 practice within 10 miles; [full list](https://npiprofile.com/npi/1871525915/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 4, 2025
- **Other identifiers:** Other A3477 (MI); Other 0F36131 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1871525915) · Data from the CMS NPPES public registry.