PARK PLAZA RADIOLOGY, INC
NPI 1982611224
Radiology - Diagnostic Radiology in Flint, MI
NPI Status: Active since August 01, 2006
Contact Information
G 1071 N BALLENGER HWY
SUITE 102
FLINT, MI
ZIP 48504
Phone: (810) 235-0668
Fax: (810) 235-8928
- Organization
- Radiology
- Diagnostic Radiology
- Accepts Insurance
- CLIA Number: 23D1014890
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 07-17-2027
About PARK PLAZA RADIOLOGY, INC
This page provides the complete NPI Profile along with additional information for Park Plaza Radiology, Inc, a provider established in Flint, Michigan operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1982611224 assigned on August 2006. The practitioner's primary taxonomy code is 2085R0202X with license number 4301406912 (MI). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Apparao Mukkamala Md (President)
- NPI
- 1982611224
- Provider Name
- PARK PLAZA RADIOLOGY, INC
- Entity Type
- Organization
- Location Address
- G 1071 N BALLENGER HWY SUITE 102 FLINT, MI 48504
- Location Phone
- (810) 235-0668
- Location Fax
- (810) 235-8928
- Mailing Address
- PO BOX 4459 FLINT, MI 48504
- Mailing Phone
- (810) 424-4761
- Mailing Fax
- (810) 235-8928
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-01-2006
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301406912
- License State
- MI
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207U00000X | Allopathic & Osteopathic Physicians | Nuclear Medicine | 4301031703 (MI) |
| 2 | 2085N0700X | Allopathic & Osteopathic Physicians | Radiology | 4301042515 (MI) |
| 3 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | 4301031588 (MI) |
| 4 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | 4301034123 (MI) |
| 5 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | 4301057046 (MI) |
| 6 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | 4301034675 (MI) |
| 7 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | 4301037709 (MI) |
| 8 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | 4301046932 (MI) |
| 9 | 2085R0204X | Allopathic & Osteopathic Physicians | Radiology | 4301037112 (MI) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- MyPriority Balanced Silver - HMO
- MyPriority Balanced Silver Southeast Michigan Network - HMO
- MyPriority Balanced Silver Trinity Health East Network - HMO
- MyPriority Enhanced Gold Southeast Michigan Network - HMO
- MyPriority Enhanced Gold Trinity Health East Network - HMO
- MyPriority Premier Silver - HMO
- MyPriority Premier Silver Trinity Health East Network - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Southeast Michigan Network - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Bronze - Trinity Health East Network - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Gold Southeast Michigan Network - HMO
- MyPriority Standard Gold Trinity Health East Network - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Southeast Michigan Network - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Standard Silver - Trinity Health East Network - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze HSA - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0B56014 | OTHER (01) | MI | BCBS COMMON PROVIDER CODE |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D1014890
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- July 18, 2025
- Certificate Expiration Date
- July 17, 2027
- Laboratory Director
- ALI K. MOHAMMED
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Park Plaza Radiology, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for PARK PLAZA RADIOLOGY, INC
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1982611224, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
FLINT, MI 48504
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982611224, enumerated as an "organization" on August 01, 2006.
The provider is located at G 1071 N BALLENGER HWY SUITE 102 FLINT, MI 48504 and the phone number is (810) 235-0668.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
The provider might be accepting Accepts: Priority Health, Blue Cross Blue Shield, Medicare. Please consult your insurance carrier or call the provider to verify.
