JANE PALKA
NPI 1972548345
Radiology - Diagnostic Radiology in Royal Oak, MI


Quality Rating: 85.06 out of 100 score

NPI Status: Active since June 18, 2006

Contact Information

3601 W 13 MILE RD
ROYAL OAK, MI
ZIP 48073
Phone: (248) 577-9700

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  • Individual
  • Female
  • Years of Experience 45
  • Radiology
  • Diagnostic Radiology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JANE PALKA

This page provides the complete NPI Profile along with additional information for Jane Palka, a provider established in Royal Oak, Michigan with a medical specialization in Radiology, focusing in diagnostic radiology and more than 45 years of experience. She graduated from Chicago College Of Osteopathy in 1981. The healthcare provider is registered in the NPI registry with number 1972548345 assigned on June 2006. The practitioner's primary taxonomy code is 2085R0202X with license number 5101008267 (MI). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1972548345
Provider Name
JANE PALKA
Gender
Female
Entity Type
Individual
Location Address
3601 W 13 MILE RD ROYAL OAK, MI 48073
Location Phone
(248) 577-9700
Mailing Address
26901 BEAUMONT BLVD STE 3D SOUTHFIELD, MI 48033
Medical School Name
CHICAGO COLLEGE OF OSTEOPATHY
Graduation Year
1981
Is Sole Proprietor?
No
Enumeration Date
06-18-2006
Last Update Date
10-12-2022
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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.
5101008267
License State
MI
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • Bronze First - HMO
  • Bronze First Adult Vision & Fitness - HMO
  • Diabetes Gold - HMO
  • Diabetes Gold Adult Vision & Fitness - HMO
  • Diabetes Silver - HMO
  • Diabetes Silver Adult Vision & Fitness - HMO
  • Gold - HMO
  • Gold Adult Vision & Fitness - HMO
  • HDHP Preventive Silver - HMO
  • Healthy Heart Gold - HMO
  • MHP Bronze - HMO
  • MHP Bronze Saver (Expanded) - HMO
  • MHP Expanded Bronze Standard - HMO
  • MHP Gold - HMO
  • MHP Gold Standard - HMO
  • MHP Silver Exchange - HMO
  • MHP Silver Exchange Rewards - HMO
  • MHP Silver Standard - HMO
  • MHP Young Adult/Catastrophic - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • MyPriority Balanced Silver - HMO
  • MyPriority Balanced Silver Southeast Michigan Network - HMO
  • MyPriority Enhanced Gold Southeast Michigan Network - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Premier Silver Southeast Michigan Network - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Southeast Michigan Network - HMO
  • MyPriority Standard Bronze - Travel - HMO
  • MyPriority Standard Gold - HMO
  • MyPriority Standard Gold Southeast Michigan Network - HMO
  • UHC Bronze Copay Focus (No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Value (No Referrals) - HMO
  • UHC Bronze Value+ (Dental + Vision, No Referrals) - HMO
  • UHC Gold Advantage (No Referrals) - HMO
  • UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus (No Referrals) - HMO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Silver Advantage (No Referrals) - HMO
  • UHC Silver Advantage+ (Dental + Vision, No Referrals) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jane Palka is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jane Palka is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 143220400

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20070110000445

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Dxa bone density measurement of hip, pelvis, spine

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

This service was performed 337 times for 337 patients

Injection of radioactive material for x-ray identification of lymph node

This procedure involves injecting a safe radioactive substance into your body. It travels to your lymph nodes, making them visible on X-ray images. This helps in identifying any abnormal nodes for further examination. It's a standard part of many diagnostic processes.

This service was performed 20 times for 20 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

This service was performed 150 times for 150 patients

Nuclear medicine study from skull base to mid-thigh with ct scan

A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.

This service was performed 190 times for 182 patients

Nuclear medicine study of bone and/or joint whole body

A nuclear medicine study of bone and/or joint whole body involves injecting a small amount of radioactive material into your body. This material travels to your bones and emits energy. A special camera captures this energy, creating images of your bones to help identify any abnormalities.

This service was performed 39 times for 39 patients

Nuclear medicine study of liver and bile duct system

A nuclear medicine study of the liver and bile duct system involves the use of a small amount of radioactive material to create detailed images. This helps doctors examine the liver's function and structure, and detect any abnormalities in the bile ducts.

This service was performed 20 times for 20 patients

Nuclear medicine study of lung ventilation and circulation

A nuclear medicine lung ventilation and circulation study uses a safe radioactive material to create images of air and blood flow in your lungs. It helps identify issues like blood clots or lung diseases. You inhale or receive an injection of this material, and a special camera captures the images.

This service was performed 14 times for 14 patients

Nuclear medicine study of parathyroid with spect and ct scan

A nuclear medicine study of the parathyroid with SPECT and CT scan is a diagnostic procedure. It uses a safe radioactive substance and imaging techniques to create detailed pictures of your parathyroid glands. These images help identify any abnormalities or diseases.

This service was performed 15 times for 15 patients

Nuclear medicine study whole body with ct scan

A Nuclear Medicine Study with a CT Scan is a diagnostic procedure. It uses a small amount of radioactive substance and a CT scan to create detailed images of your body. These images help doctors diagnose, monitor, and treat various conditions.

This service was performed 55 times for 52 patients

Nuclear medicine study, 1 area with spect

A nuclear medicine study with SPECT involves a safe, small amount of radioactive substance to help visualize body organs. SPECT, or Single Photon Emission Computed Tomography, creates detailed 3D images. This helps doctors diagnose and monitor conditions in a specific body area.

This service was performed 28 times for 28 patients

Nuclear medicine study, 1 area with spect and concurrent ct scan

A nuclear medicine study with SPECT and concurrent CT scan is a special imaging test. It uses a small amount of radioactive substance and advanced imaging techniques to create detailed pictures of your internal body structures. It aids in diagnosing and tracking the progress of treatment for various diseases.

This service was performed 27 times for 27 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $22.69 for a new patient copayment and $18.09 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 48073 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $90.76
  • Minimum New Patient Price $58.04
  • Maximum New Patient Price $177.36
  • Average New Patient Copayment $22.69
  • Minimum New Patient Copayment $14.51
  • Maximum New Patient Copayment $44.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $72.38
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $143.49
  • Average Established Patient Copayment $18.09
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $35.87

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 85.06, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 85.06 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 75.96

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 58.44

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 58.44

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jane Palka is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
BEAUMONT HOSPITAL ROYAL OAK3601 W THIRTEEN MILE RD
ROYAL OAK, MI 48073
(248) 898-5000Acute Care Hospitals
BEAUMONT HOSPITAL - FARMINGTON HILLS28050 GRAND RIVER AVENUE
FARMINGTON HILLS, MI 48336
(248) 471-8000Acute Care Hospitals
BEAUMONT HOSPITAL, TROY44201 DEQUINDRE ROAD
TROY, MI 48085
(248) 964-8800Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1972548345
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291421041638
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 4 + 2 + 1 + 0 + 4 + 1 + 6 + 3 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1972548345 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467447151DR. YVONNE F POSEY MD
Individual
Pathology (Chemical Pathology)3601 W 13 MILE RD WILLIAM BEAUMONT HOSPITAL, DEPT. OF CLINICAL PATHOLOGY
ROYAL OAK, MI 48073
(248) 551-8030
1811979263DR. KATHRYN D WEASE MD
Individual
Hospitalist3601 W 13 MILE RD
ROYAL OAK, MI 48073
(248) 691-8646
1598749095DR. CRAIG T HARTRICK MD
Individual
Anesthesiology (Pain Medicine)3601 W 13 MILE RD ANESTHESIOLOGY DEPT
ROYAL OAK, MI 48073
(248) 723-1635
1104802990MR. PAMELA SUE GRAY N.P.
Individual
Nurse Practitioner (Family)3601 W 13 MILE RD
ROYAL OAK, MI 48073
(248) 898-4760
1104805571DR. ABDUL A AL SAADI PHD
Individual
Medical Genetics, Ph.D. Medical Genetics3601 W 13 MILE RD
ROYAL OAK, MI 48073
(248) 898-1256
1154392777DR. DOMINIC D MONTEROSSO DO
Individual
Anesthesiology3601 W 13 MILE RD ANESTHESIOLOGY DEPT
ROYAL OAK, MI 48073
(248) 723-1635
1790756310DR. SUSAN N IOVAN MD
Individual
Anesthesiology3601 W 13 MILE RD ANESTHESIOLOGY DEPT
ROYAL OAK, MI 48073
(248) 723-1635
1124090428DR. ROMAN MAGIDENKO MD
Individual
Anesthesiology3601 W 13 MILE RD ANESTHESIOLOGY DEPT
ROYAL OAK, MI 48073
(248) 723-1635
1467425595DR. DEANE Y HARIMOTO MD
Individual
Anesthesiology3601 W 13 MILE RD ANESTHESIOLOGY DEPT
ROYAL OAK, MI 48073
(248) 723-1635
1093788119DR. MARK B YESTREPSKY MD
Individual
Anesthesiology3601 W 13 MILE RD ANETHESIOLOGY DEPT
ROYAL OAK, MI 48073
(248) 723-1635
1497728414DR. GREGORY F SMITH MD
Individual
Anesthesiology3601 W 13 MILE RD ANESTHESIOLOGY DEPT
ROYAL OAK, MI 48073
(248) 723-1635
1396719670DR. DONALD R TATUM MD
Individual
Anesthesiology3601 W 13 MILE RD
ROYAL OAK, MI 48073
(248) 723-1635
1710951918DR. DANIEL L SILVASI MD
Individual
Anesthesiology3601 W 13 MILE RD ANESTHESIOLOGY DEPT
ROYAL OAK, MI 48073
(248) 723-1635
1841264801DR. DOUGLAS M STERNBERG MD
Individual
Anesthesiology3601 W 13 MILE RD ANESTHESIOLOGY DEPT
ROYAL OAK, MI 48073
(248) 723-1635
1134193261DR. JEFFREY P BELLEFLEUR MD
Individual
Anesthesiology3601 W 13 MILE RD ANESTHESIOLOGY DEPT
ROYAL OAK, MI 48073
(248) 723-1635
1225002116DR. JAMES TING MD
Individual
Anesthesiology3601 W 13 MILE RD ANESTHESIOLOGY DEPT
ROYAL OAK, MI 48073
(248) 723-1635
1346214368DR. MICHAEL G MCCUE MD
Individual
Anesthesiology3601 W 13 MILE RD ANESTHESIOLOGY DEPT
ROYAL OAK, MI 48073
(248) 723-1635
1295709467DR. ROBERT F MURRAY III MD
Individual
Anesthesiology3601 W 13 MILE RD ANESTHESIOLOGY DEPT
ROYAL OAK, MI 48073
(248) 723-1635
1821062092DR. HARRY G PARR DO
Individual
Anesthesiology3601 W 13 MILE RD ANESTHESIOLOGY DEPT
ROYAL OAK, MI 48073
(248) 723-1635
1801860945DR. PRAXEDIZ A MEZA MD
Individual
Anesthesiology3601 W 13 MILE RD
ROYAL OAK, MI 48073
(248) 723-1635

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972548345, enumerated in the NPI registry as an "individual" on June 18, 2006

The provider is located at 3601 W 13 Mile Rd Royal Oak, Mi 48073 and the phone number is (248) 577-9700

The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

The provider has more than 45 years of experience. She graduated from Chicago College Of Osteopathy in 1981.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $90.76 with an average copayment of $22.69 for new patient appointments. Established patients should expect a typical charge of $72.38 and an average copayment of 18.09. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Dxa bone density measurement of hip, pelvis, spine, Injection of radioactive material for x-ray identification of lymph node, Nuclear medicine studies of heart muscle at rest and with stress and spect, Nuclear medicine study from skull base to mid-thigh with ct scan, Nuclear medicine study of bone and/or joint whole body, Nuclear medicine study of liver and bile duct system, Nuclear medicine study of lung ventilation and circulation, Nuclear medicine study of parathyroid with spect and ct scan, Nuclear medicine study whole body with ct scan, Nuclear medicine study, 1 area with spect and Nuclear medicine study, 1 area with spect and concurrent ct scan.

The practitioner is affiliated to the following hospital(s): BEAUMONT HOSPITAL ROYAL OAK, BEAUMONT HOSPITAL - FARMINGTON HILLS and BEAUMONT HOSPITAL, TROY. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 18, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.