MICHAEL IM M.D. NPI 1710154794

NPI Information

  • NPI: 1710154794
  • Provider Name: MICHAEL IM, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2624 DAWSON RD
    ALBANY, GA
    ZIP 31707
  • Phone: (229) 888-1624

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NPI Details

Michael Im, M.D. is a diagnostic radiology radiology in Albany, GA with 19 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Michael Im, M.D. NPI is 1710154794. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduation Year:2007

The provider's business location address is:

2624 DAWSON RD
ALBANY, GA
ZIP 31707-609
Phone: (229) 888-1624

The NPI 1710154794 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, gadoterate meglumine, 0.1 ml (HCPCS:A9575)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Mri scan of leg without contrast (HCPCS:73718)
  • Ct scan of leg without contrast (HCPCS:73700)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Mri scan of arm without contrast (HCPCS:73218)
  • Mri scan of pelvis without contrast (HCPCS:72195)
  • Ct scan of arm without contrast (HCPCS:73200)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of both breasts (HCPCS:77049)
  • Diagnostic mammography of both breasts (HCPCS:77066)

The enumeration date for this NPI number is 5/9/2008 and was last updated on 12/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology109415GEORGIAYes
22085R0202XRadiologyDiagnostic RadiologyA119769CALIFORNIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A119769OTHERCALIFORNIASTATE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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