Rajesh Mithalal, MD - Medicare Diagnostic Radiology in Grand Rapids, MI

Rajesh Mithalal, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Grand Rapids, Michigan. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Advanced Radiology Services Pc, Spartan Radiology Inc and his current practice location is 3264 N Evergreen Drive Ne, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 363-7272.

Rajesh Mithalal is licensed to practice in Michigan (license number 4301089279) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417172768.

Contact Information

Rajesh Mithalal, MD
3264 N Evergreen Drive Ne,
Grand Rapids, MI 49525
(616) 363-7272
(616) 361-5828



Physician's Profile

Full NameRajesh Mithalal
GenderMale
SpecialityDiagnostic Radiology
Experience25 Years
Location3264 N Evergreen Drive Ne, Grand Rapids, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Rajesh Mithalal graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1417172768
  • Provider Enumeration Date: 04/13/2007
  • Last Update Date: 06/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3274630355
  • Enrollment ID: I20070524000386

Medical Identifiers

Medical identifiers for Rajesh Mithalal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417172768NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 4301089279 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Covenant Medical CenterSaginaw, MIHospital
Spectrum HealthGrand rapids, MIHospital
Midmichigan Medical Center-midlandMidland, MIHospital
Ascension Macomb Oakland Hosp-warren CampusWarren, MIHospital
Bronson Methodist HospitalKalamazoo, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advanced Radiology Services Pc4284546516235
Spartan Radiology Inc5698003697179

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Rajesh Mithalal allows following entities to bill medicare on his behalf.
Entity NameAdvanced Radiology Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740283324
PECOS PAC ID: 4284546516
Enrollment ID: O20031104000494

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Entity NameAdvanced Diagnostic Imaging Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245299494
PECOS PAC ID: 3779489224
Enrollment ID: O20031208000473

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Entity NameCovenant Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972590412
PECOS PAC ID: 2769387778
Enrollment ID: O20031209000107

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Entity NameGreat Lakes Bay Health Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871684761
PECOS PAC ID: 2466369046
Enrollment ID: O20040126000171

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Entity NameSpartan Radiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932768058
PECOS PAC ID: 5698003697
Enrollment ID: O20190829001596

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rajesh Mithalal is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Rajesh Mithalal, MD
3264 N Evergreen Drive Ne,
Grand Rapids, MI 49525

Ph: (616) 363-7272
Rajesh Mithalal, MD
3264 N Evergreen Drive Ne,
Grand Rapids, MI 49525

Ph: (616) 363-7272

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Radiology Doctors in Grand Rapids, MI

Dr. Jon R Henke, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-363-7272    Fax: 616-363-7290
Geoffrey M. Remes, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-363-7339    Fax: 616-361-5828
Jan L Mourelatos, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-363-7272    Fax: 616-361-5828
Dr. Brendan Michael Banyon, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-363-7272    
Dr. Joseph J Junewick, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-363-7272    Fax: 616-363-7290
Keith Alan Morrow, D.O.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-363-7339    Fax: 616-361-5828
Dr. Andrew Kent Moriarity, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525
Phone: 616-363-7339    

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