BRIAN J. DE MICHAELIS MD – NPI #1891795928
Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
BRIAN DE MICHAELIS is a radiologist located in ROBBINSDALE, MN. NPPES has assigned the NPI number 1891795928 to BRIAN DE MICHAELIS on July 29, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology Please note, simply having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was previously updated about 17 years ago on Mar 03, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRIAN DE MICHAELIS below.
NPI Profile for
BRIAN J. DE MICHAELIS
(about 21 years ago)
ROBBINSDALE, MN 55422-2926 Phone: (763) 559-2171 Fax: (763) 694-9000
#10
PLYMOUTH, MN 55441-2645 Phone: (763) 559-2171 Fax: (763) 694-9000
Identifiers for BRIAN DE MICHAELIS
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | MN | 300405800 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2085R0202X - Radiology / Diagnostic Radiology (Primary) |
MN | 42494 |
| 2085U0001X - Radiology / Diagnostic Ultrasound |
MN | 42494 |
| 2085N0904X - Radiology / Nuclear Radiology |
MN | 42494 |
| 2085N0700X - Radiology / Neuroradiology |
MN | 42494 |
| 2085B0100X - Radiology / Body Imaging |
MN | 42494 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
BRIAN DE MICHAELIS is affiliated with the following medical group(s):
- HOSPITAL
- CENTRACARE HEALTH - MONTICELLO1013 HART BOULEVARD
MONTICELLO, MN 55362 - MAPLE GROVE HOSPITAL9875 HOSPITAL DRIVE
MAPLE GROVE, MN 55369 - NORTH MEMORIAL HEALTH HOSPITAL3300 OAKDALE NORTH
ROBBINSDALE, MN 55422
- CENTRACARE HEALTH - MONTICELLO1013 HART BOULEVARD
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