MICHAEL DOHERTY MD NPI 1720011695

NPI Information

  • NPI: 1720011695
  • Provider Name: MICHAEL DOHERTY, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2500 N STATE ST
    JACKSON, MS
    ZIP 39216
  • Phone: (601) 984-2538

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NPI Details

Michael Doherty, MD is a diagnostic radiology radiology in Jackson, MS with 32 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Michael Doherty, MD NPI is 1720011695. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

2500 N STATE ST
JACKSON, MS
ZIP 39216-500
Phone: (601) 984-2538
Fax: (601) 815-1854

The NPI 1720011695 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.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93976)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ultrasound scan of transplanted kidney (HCPCS:76776)
  • Ultrasound scan of organ tissue for measuring elasticity (HCPCS:76981)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Single contrast x-ray of esophagus (HCPCS:74220)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Limited ultrasound scan of pelvis (HCPCS:76857)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Fine needle aspiration biopsy using ultrasound guidance, first growth (HCPCS:10005)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • Ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93979)

The enumeration date for this NPI number is 7/7/2006 and was last updated on 1/27/2016.

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 Radiology13889MISSISSIPPIYes

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
1180300MEDICAIDALABAMA
2512I300018MEDICARE PINMISSISSIPPI
300119624MEDICAIDMISSISSIPPI
4G53563MEDICARE UPINMISSISSIPPI
5333292YWZ1MEDICARE PINMISSISSIPPI
6300085749OTHERMISSISSIPPIRAILROAD MEDICARE
7P01194855OTHERMISSISSIPPIRAILROAD MEDICARE PTAN
8302I305635MEDICARE PINMISSISSIPPI
9512G700003OTHERMISSISSIPPIMS MEDICARE - GROUP
10DC7781OTHERRAILROAD MEDICARE GROUP #
11P00601123OTHERRAILROAD MEDICARE

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: 3/30/2025

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