DR. MICHAEL W. ITAGAKI MD NPI 1902058555

NPI Information

  • NPI: 1902058555
  • Provider Name: DR. MICHAEL W. ITAGAKI, MD
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2845 GREENBRIER RD
    GREEN BAY, WI
    ZIP 54311
  • Phone: (920) 288-4848

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NPI Details

DR. Michael W. Itagaki, MD is a vascular and interventional radiology radiology in Green Bay, WI with 21 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. DR. Michael W. Itagaki, MD NPI is 1902058555. 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:

2845 GREENBRIER RD
GREEN BAY, WI
ZIP 54311-519
Phone: (920) 288-4848
Fax: (920) 288-4956

The NPI 1902058555 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.

  • 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, 1 view (HCPCS:71045)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Aspiration of fluid from chest cavity using imaging guidance (HCPCS:32555)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Biopsy and aspiration of bone marrow sample for diagnosis (HCPCS:38222)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)

The enumeration date for this NPI number is 10/15/2008 and was last updated on 8/6/2025.

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 Radiology81016-20WISCONSINNo
22085R0202XRadiologyDiagnostic RadiologyA99197CALIFORNIANo
32085R0202XRadiologyDiagnostic RadiologyMD60125332WASHINGTONNo
42085R0204XRadiologyVascular & Interventional RadiologyMD60125332WASHINGTONNo
52085R0204XRadiologyVascular & Interventional Radiology81016WISCONSINYes

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
1314444OTHERWASHINGTONLNI PROVIDER ID
2100212024MEDICAIDWISCONSIN
32023112MEDICAIDWASHINGTON
4685050MEDICAIDHAWAII
5305309OTHERWASHINGTONLNI PROVIDER ID

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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