GINA FUNDARO (M.D.) – Diagnostic Radiology Physician, NPI 1275520512
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,650 DIAGNOSTIC RADIOLOGY in MI
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Provider Addresses for GINA FUNDARO (M.D.)
Northwestern Highway, Southfield, Oakland County, Michigan, 48235, United States
SOUTHFIELD, MI 480752473
Phone: (248) 827-4580
Fax: (248) 827-7663
Type: Mailing
Wertz Clinical Cancer Center, 4100, John R Street, Medical Center, Midtown, Detroit, Wayne County, Michigan, 48201, United States
DETROIT, MI 482012013
Phone: (313) 745-8042
Fax: (313) 745-2314
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $368.
Total Amount is formed as General ($368) + Research ($0) + Ownership ($0) = $368.
Last reported payment date: 2023-07-05 • Largest payer in this snapshot: GE HealthCare ($368).
Total Amount
$368
General + Research + Ownership
Payments
1
Total payment records
General Amount
$368
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GE HealthCare | $368 |
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: 2004-09-09
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 |
|---|---|---|---|---|
| I20040909000630 | 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 |
|---|---|---|---|---|
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 5,661 | 37 | $0 |
| 77067 | Screening mammography | 754 | 425 | $0 |
| 77063 | Screening 3d breast mammography | 753 | 423 | $0 |
| 77049 | Mri scan of both breasts | 69 | 37 | $0 |
| 76641 | Complete ultrasound scan of 1 breast | 64 | 34 | $0 |
Insurance plans in this area (ZIP 48075)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Radiology, Diagnostic Radiology | WI | |
| Diagnostic Radiology | OH | |
| - | OH | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | FL |
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