JESSICA MARIE KANIOWSKI (M.D.) – Diagnostic Radiology Physician, NPI 1073717682
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,649 DIAGNOSTIC RADIOLOGY in MI
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Provider Addresses for JESSICA MARIE KANIOWSKI (M.D.)
South Georgetown Square, Royal Oak, Oakland County, Michigan, 48069, United States
ROYAL OAK, MI 480673204
Phone: (248) 543-6559
Type: Mailing
Ascension Providence Hospital, Southfield Campus, 16001, West 9 Mile Road, Southfield, Oakland County, Michigan, 48075, United States
SOUTHFIELD, MI 480754818
Phone: (248) 849-3000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-07-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120709000695 | I | Diagnostic Radiology | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77067 | Screening mammography | 956 | 956 | $0 |
| 77063 | Screening 3d breast mammography | 831 | 831 | $0 |
| 71045 | X-ray of chest, 1 view | 526 | 461 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 149 | 149 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 144 | 144 | $0 |
Insurance plans in this area (ZIP 48067)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MI | 74177 | CT scan of abdomen and pelvis with contrast | 123 | 122 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology, Interventional Radiology | MI | |
| Interventional Radiology | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | NY | |
| Nurse Practitioner | MI | |
| Diagnostic Radiology | MI | |
| - | MI | |
| Diagnostic Radiology | MI |
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