DR. MICHAEL GREGORY FAZIO DO NPI 1811123433

NPI Information

  • NPI: 1811123433
  • Provider Name: DR. MICHAEL GREGORY FAZIO, DO
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4500 MEMORIAL DR
    DEPT RADIOLOGY
    BELLEVILLE, IL
    ZIP 62226
  • Phone: (618) 257-5613

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NPI Details

DR. Michael Gregory Fazio, DO is a diagnostic radiology radiology in Belleville, IL with 17 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Michael Gregory Fazio, DO NPI is 1811123433. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4500 MEMORIAL DR
DEPT RADIOLOGY
BELLEVILLE, IL
ZIP 62226-360
Phone: (618) 257-5613
Fax: (314) 454-4641

The NPI 1811123433 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.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Blood creatinine level (HCPCS:82565)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Single contrast x-ray of esophagus (HCPCS:74220)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Ct scan of face without contrast (HCPCS:70486)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ct scan of soft tissue of neck with contrast (HCPCS:70491)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • 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)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • X-ray of both hips, 3-4 views (HCPCS:73522)
  • X-ray of middle spine, 3 views (HCPCS:72072)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Ct scan of face without contrast (HCPCS:70486)
  • Mri scan of leg without contrast (HCPCS:73718)
  • Other mri scan (HCPCS:76498)
  • Ct scan of leg without contrast (HCPCS:73700)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Double contrast x-ray of upper digestive tract (HCPCS:74246)

The enumeration date for this NPI number is 6/10/2009 and was last updated on 10/21/2025.

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 Radiology036151550ILLINOISYes

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
1200085569MEDICAIDMISSOURI

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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