MICHAEL G DOHERTY MD NPI 1730154261

NPI Information

  • NPI: 1730154261
  • Provider Name: MICHAEL G DOHERTY, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 31 SANDSTONE CIR
    JACKSON, TN
    ZIP 38305
  • Phone: (731) 240-1747

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NPI Details

Michael G Doherty, MD is a diagnostic radiology radiology in Jackson, TN with 27 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Michael G Doherty, MD NPI is 1730154261. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

31 SANDSTONE CIR
JACKSON, TN
ZIP 38305-073
Phone: (731) 240-1747
Fax: (731) 240-1755

The NPI 1730154261 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)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Review by radiologist of ct guidance for needle placement (HCPCS:77012)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Limited or follow-up ct scan (HCPCS:76380)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Drainage of fluid from abdominal cavity using imaging guidance (HCPCS:49083)
  • Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin (HCPCS:32408)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Aspiration of fluid from chest cavity using imaging guidance (HCPCS:32555)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • Fine needle aspiration biopsy using ultrasound guidance, first growth (HCPCS:10005)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 2/20/2006 and was last updated on 2/3/2025.

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
12085R0204XRadiologyVascular & Interventional Radiology4301087295MICHIGANNo
22085R0202XRadiologyDiagnostic Radiology68642TENNESSEEYes

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
1604658400MEDICAIDMINNESOTA

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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