MEDICAL DIAGNOSTIC SERVICES INC
NPI 1912169186
Radiology - Diagnostic Radiology in Waterford, MI
About Medical Diagnostic Services Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDICAL DIAGNOSTIC SERVICES INC (NPI 1912169186) is a healthcare organization registered as a diagnostic radiology in Waterford, Michigan and active in the NPI registry since June 2008. The organization lists Shams U Siddiqui, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Identifiers 4
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)
Medical Diagnostic Services Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Medical Diagnostic Services Inc, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (8)
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 Medical Diagnostic Services Inc's NPI number?
The NPI number for Medical Diagnostic Services Inc is 1912169186. It was assigned to this organization in the NPPES registry on June 30, 2008.
Where is Medical Diagnostic Services Inc located?
Medical Diagnostic Services Inc is located at 4479 Pontiac Lake Rd Suite 1D, Waterford, MI 48328. The listed phone number is (248) 499-7618.
What is Medical Diagnostic Services Inc's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Medical Diagnostic Services Inc enrolled in Medicare?
Yes. Medical Diagnostic Services Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Medical Diagnostic Services Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Medical Diagnostic Services Inc. 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.
What insurance does Medical Diagnostic Services Inc accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Medical Diagnostic Services Inc 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 Medical Diagnostic Services Inc was last updated on January 25, 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.
# Medical Diagnostic Services Inc · NPI 1912169186
Diagnostic Radiology organization in Waterford, Michigan. Organization record, active in the CMS NPPES registry since June 30, 2008.
## Identity
- **NPI:** 1912169186 (Entity type: Organization)
- **Enumerated:** June 30, 2008
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** Yes (part of Medical Diagnostic Services Inc)
- **Authorized official:** Shams Siddiqui, PRESIDENT
## Practice location
- **Address:** 4479 PONTIAC LAKE RD, SUITE 1D, Waterford, MI 48328-2059
- **Phone:** (248) 499-7618 · **Fax:** (248) 499-7644
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians (Diagnostic Radiology) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 25, 2015
- **Other identifiers:** Medicaid 1912169186 (MI); Other 0F38038 (MI); Other 0H01066 (MI); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1912169186) · Data from the CMS NPPES public registry.