GREAT LAKES RADIOLOGY SERVICES
NPI 1891529111
Radiology - Diagnostic Radiology in Plymouth, MI
About Great Lakes Radiology Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREAT LAKES RADIOLOGY SERVICES (NPI 1891529111) is a healthcare organization registered as a diagnostic radiology in Plymouth, Michigan and active in the NPI registry since August 2024. The organization maintains a secondary practice location in Wesley Chapel and lists Brian Madison, Organizer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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)
Great Lakes Radiology Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
68Medicare enrollment records show 68 clinicians reassign Medicare billing to Great Lakes Radiology Services, which bills Medicare for the services they deliver. Of these, 3 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 68Ann Arbor, MI 48109
Royal Oak, MI 48073
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 Great Lakes Radiology Services's NPI number?
The NPI number for Great Lakes Radiology Services is 1891529111. It was assigned to this organization in the NPPES registry on August 28, 2024.
Where is Great Lakes Radiology Services located?
Great Lakes Radiology Services is located at 729 W Ann Arbor Trl Ste 2, Plymouth, MI 48170. The listed phone number is (734) 673-3764.
What is Great Lakes Radiology Services's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Great Lakes Radiology Services enrolled in Medicare?
Yes. Great Lakes Radiology Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Great Lakes Radiology Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 68 clinicians in 3 Medicare specialties reassign their Medicare billing to Great Lakes Radiology Services. 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 (62), Interventional Radiology (5) and Internal Medicine (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Great Lakes Radiology Services accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Great Lakes Radiology Services 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 Great Lakes Radiology Services was last updated on October 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.
# Great Lakes Radiology Services · NPI 1891529111
Diagnostic Radiology organization in Plymouth, Michigan. Organization record, active in the CMS NPPES registry since August 28, 2024.
## Identity
- **NPI:** 1891529111 (Entity type: Organization)
- **Enumerated:** August 28, 2024
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Brian Madison, ORGANIZER
## Practice location
- **Address:** 729 W ANN ARBOR TRL STE 2, Plymouth, MI 48170-6225
- **Phone:** (734) 673-3764
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 68 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (62), Interventional Radiology (5), Internal Medicine (1); 3 practice within 10 miles; [full list](https://npiprofile.com/npi/1891529111/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1891529111) · Data from the CMS NPPES public registry.