DR. ALFONSO RICARDO URDANETA-MONCADA (MD) – Diagnostic Radiology Physician, NPI 1477812873
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,650 DIAGNOSTIC RADIOLOGY in MI
Provider Addresses for DR. ALFONSO RICARDO URDANETA-MONCADA (MD)
4660 S Hagadorn Rd Ste 410
East Lansing, MI 488236819
Phone: (517) 884-6132
Fax: (517) 884-6236
Type: Location
3220 Discovery Dr Ste 100
Lansing, MI 489108609
Phone: (517) 975-8930
Fax: (517) 337-4985
Type: Location
4660 S Hagadorn Rd Ste 510
East Lansing, MI 488236805
Phone: (517) 884-7450
Fax: (517) 884-7460
Type: Location
19020 33RD AVE W STE 210
LYNNWOOD, WA 980364748
Phone: (425) 563-1500
Fax: (425) 563-1501
Type: Mailing
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: 2025-06-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20161027001372 | I | Diagnostic Radiology | WA | TBD |
| I20170816001000 | I | Diagnostic Radiology | ID | TBD |
| I20241105003199 | I | Diagnostic Radiology | CA | TBD |
| I20250618001046 | 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 | 4,070 | 26 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,065 | 12 | $0 |
| 70450 | Ct scan head or brain without contrast | 675 | 663 | $0 |
| 70496 | Ct scan of blood vessels of head with contrast | 586 | 586 | $0 |
| 70498 | Ct scan of blood vessels of neck with contrast | 584 | 584 | $0 |
Insurance plans in this area (ZIP 48823)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| General Surgery | WA | |
| Orthopedic Surgery | WA | |
| P S Y C H I A T R Y | WA | |
| Hospitalist, Hospice/Palliative Care, Internal Medicine | WA | |
| Hospitalist, Hospice/Palliative Care | WA | |
| Physician Assistant | WA | |
| N E U R O L O G Y | WA | |
| N E U R O L O G Y | WA | |
| Hospitalist, Hospice/Palliative Care, Internal Medicine | ND |
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