CIRA MICHIGAN PC – Diagnostic Radiology Physician, NPI 1972141513
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CIRA MICHIGAN PC
111 OAKWOOD RD
EAST PEORIA, IL 616111853
Phone: (309) 740-4272
Type: Mailing
3401 LUDINGTON ST
ESCANABA, MI 498291300
Phone: (906) 786-3311
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: 2025-11-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-11-30 (193 days ago).
Enrollment records
20
Earliest due date
2025-11-30
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 |
|---|---|---|---|---|
| O20200324000504 | O | Clinic/Group Practice | MI | 2025-11-30 |
| O20200917001933 | O | Clinic/Group Practice | CA | 2026-03-31 |
| O20201023001046 | O | Clinic/Group Practice | DC | 2026-04-30 |
| O20211101000663 | O | Clinic/Group Practice | IL | TBD |
| O20220406002523 | O | Clinic/Group Practice | IN | TBD |
| O20221024002689 | O | Clinic/Group Practice | GA | TBD |
| O20221108001585 | O | Clinic/Group Practice | OH | TBD |
| O20230328002193 | O | Clinic/Group Practice | MA | TBD |
| O20230411000041 | O | Clinic/Group Practice | TX | TBD |
| O20230526002009 | O | Clinic/Group Practice | WA | TBD |
| O20230605001820 | O | Clinic/Group Practice | NC | TBD |
| O20230919003118 | O | Clinic/Group Practice | FL | TBD |
| O20230927002215 | O | Clinic/Group Practice | MN | TBD |
| O20231011000382 | O | Clinic/Group Practice | OR | TBD |
| O20231018000606 | O | Clinic/Group Practice | NV | TBD |
| O20240102000647 | O | Clinic/Group Practice | MD | TBD |
| O20240417002290 | O | Clinic/Group Practice | UT | TBD |
| O20240618002363 | O | Clinic/Group Practice | MO | TBD |
| O20250116000698 | O | Clinic/Group Practice | OK | TBD |
| O20251104001521 | O | Clinic/Group Practice | KY | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61611)
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