Michael John Connolly, MD - Medicare Diagnostic Radiology in Mequon, WI

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Michael John Connolly, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Mequon, Wisconsin. He went to Medical College Of Wisconsin and graduated in 2015 and has 10 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Rockford Radiology Assoc, Modesto Radiological Medical Group Inc, Nrhs Radiology Associates, Valley Physician Services Pc, Fullerton Radiology Medical Group Inc, Los Alamitos Radiology Group Inc, X-ray Medical Group Inc, Washington Radiologists Medical Group Inc, Focus Medical Imaging, St Jude Radiology Medical Group Inc, Prime Radiology Consultants Pc, San Antonio Radiological Medical, Central Valley Imaging Medical Associates Inc, Oklahoma Radiology Group P C, Insight Chicago Inc, Hawaii Permanente Medical Group Inc, Waianae District Comprehensive Health And Hospital Board, Incorporated, University Of Arkansas For Medical Sciences, Arkansas Health Group, Elite Imaging Llc, Rose Radiology Centers Llc, Inspira Health Network Medical Group Pc, Adventist Health Medical Center Tehachapi, San Joaquin Community Hospital, County Of Monterey, X-ray Medical Group Inc, County Of San Joaquin, Universal Radiology Partners Of California Pc, Reid Physician Associates Inc, Universal Radiology Partners Of Nevada Llc and his current practice location is 10945 N Port Washington Rd Ste 201, Mequon, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 292-3151.

Michael John Connolly is licensed to practice in Wisconsin (license number 74869) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1861889909.

Contact Information

Michael John Connolly, MD
10945 N Port Washington Rd Ste 201,
Mequon, WI 53092-5078
(262) 292-3151
Not Available

Map and Direction




Physician's Profile

Full NameMichael John Connolly
GenderMale
SpecialityDiagnostic Radiology
Experience10 Years
Location10945 N Port Washington Rd Ste 201, Mequon, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael John Connolly attended and graduated from Medical College Of Wisconsin in 2015
  NPI Data:
  • NPI Number: 1861889909
  • Provider Enumeration Date: 04/15/2015
  • Last Update Date: 06/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2062792542
  • Enrollment ID: I20210608001059

Medical Identifiers

Medical identifiers for Michael John Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861889909NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 74869-20 (Wisconsin)Secondary
2085R0202XRadiology - Diagnostic Radiology 72289 (Arizona)Secondary
2085R0202XRadiology - Diagnostic Radiology MD-23870 (Hawaii)Secondary
2085R0202XRadiology - Diagnostic Radiology 25MA12003700 (New Jersey)Secondary
2085R0202XRadiology - Diagnostic Radiology E-17247 (Arkansas)Secondary
2085R0202XRadiology - Diagnostic Radiology 74869 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Uams Medical CenterLittle rock, ARHospital
Baptist Health Medical Center-little RockLittle rock, ARHospital
Valley HospitalRidgewood, NJHospital
Reid Hospital & Health Care ServicesRichmond, INHospital
Advocate Christ Hospital & Medical CenterOak lawn, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rockford Radiology Assoc125433074941
Modesto Radiological Medical Group Inc206230023989
Nrhs Radiology Associates266855573158
Valley Physician Services Pc3577857333509
Fullerton Radiology Medical Group Inc458763257553
Los Alamitos Radiology Group Inc509271888262
X-ray Medical Group Inc529479680142
Washington Radiologists Medical Group Inc630592724552
Focus Medical Imaging6406999259119
St Jude Radiology Medical Group Inc721483800260
Prime Radiology Consultants Pc741648504058
San Antonio Radiological Medical832503594246
Central Valley Imaging Medical Associates Inc862806495349
Oklahoma Radiology Group P C903210168852
Insight Chicago Inc2860894706137
Hawaii Permanente Medical Group Inc7618880667610
Waianae District Comprehensive Health And Hospital Board, Incorporated9931008349137
University Of Arkansas For Medical Sciences40825289551146
Arkansas Health Group7911802079579
Elite Imaging Llc2466496880109
Rose Radiology Centers Llc29614513156
Inspira Health Network Medical Group Pc4880797570220
Adventist Health Medical Center Tehachapi145664662964
San Joaquin Community Hospital155739058078
County Of Monterey2466345632141
X-ray Medical Group Inc529479680142
County Of San Joaquin6002703436161
Universal Radiology Partners Of California Pc721437298668
Reid Physician Associates Inc6406910769366
Universal Radiology Partners Of Nevada Llc579929525939

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michael John Connolly allows following entities to bill medicare on his behalf.
Entity NameWisconsin Radiology Specialists S C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568446003
PECOS PAC ID: 2961314091
Enrollment ID: O20031105000585
Entity NameIntegrated Imaging Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700285335
PECOS PAC ID: 2567784408
Enrollment ID: O20170202001357
Entity NameSt Jude Radiology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649349705
PECOS PAC ID: 7214838002
Enrollment ID: O20170929000295
Entity NameLos Robles Radiologic Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730157215
PECOS PAC ID: 0446319206
Enrollment ID: O20180111000788
Entity NameWest Valley Radiology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265486427
PECOS PAC ID: 1658266622
Enrollment ID: O20180917001515
Entity NamePremier Radiology Wisconsin Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952951154
PECOS PAC ID: 9537595533
Enrollment ID: O20200211002818
Entity NameX-ray Associates Of Louisville Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922046002
PECOS PAC ID: 9436146818
Enrollment ID: O20221117001529
Entity NameModesto Radiological Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992747547
PECOS PAC ID: 2062300239
Enrollment ID: O20221205003121
Entity NameCentral Valley Imaging Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275523169
PECOS PAC ID: 8628064953
Enrollment ID: O20221206002377
Entity NameRockford Radiology Assoc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740247535
PECOS PAC ID: 1254330749
Enrollment ID: O20221214001133
Entity NameX-ray Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740232776
PECOS PAC ID: 5294796801
Enrollment ID: O20221221001519
Entity NameRenaissance Radiology Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275181455
PECOS PAC ID: 0345571881
Enrollment ID: O20230127002039
Entity NameSan Antonio Radiological Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457396947
PECOS PAC ID: 8325035942
Enrollment ID: O20230131002725
Entity NamePrecision Radiology - Illinois Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265156640
PECOS PAC ID: 6305218298
Enrollment ID: O20230201002800
Entity NameFocus Medical Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528299989
PECOS PAC ID: 6406999259
Enrollment ID: O20230203002369
Entity NameBanner - University Hospital Based Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891405759
PECOS PAC ID: 1052614294
Enrollment ID: O20230512000975
Entity NameRadiology Consultants Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285735571
PECOS PAC ID: 9032195128
Enrollment ID: O20240306002253
Entity NameI V Radiology Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235296880
PECOS PAC ID: 7517952310
Enrollment ID: O20240419001668
Entity NameFullerton Radiology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861451858
PECOS PAC ID: 4587632575
Enrollment ID: O20240430002414
Entity NameSanta Cruz Radiology L L C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346291044
PECOS PAC ID: 7012996952
Enrollment ID: O20240521002771
Entity NameLos Alamitos Radiology Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427005024
PECOS PAC ID: 5092718882
Enrollment ID: O20240731001192
Entity NameWashington Radiologists Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851355622
PECOS PAC ID: 6305927245
Enrollment ID: O20240808002068
Entity NameOklahoma Radiology Group P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841283165
PECOS PAC ID: 9032101688
Enrollment ID: O20241001000635
Entity NameX-ray Associates Of Port Huron P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801967583
PECOS PAC ID: 5395789531
Enrollment ID: O20241023004200
Entity NameRenaissance Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467633867
PECOS PAC ID: 1153409867
Enrollment ID: O20241104001914
Entity NameNrhs Radiology Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134316169
PECOS PAC ID: 2668555731
Enrollment ID: O20241126002189
Entity NamePrime Radiology Consultants Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811723679
PECOS PAC ID: 7416485040
Enrollment ID: O20250203002358
Entity NameValley Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467815928
PECOS PAC ID: 3577857333
Enrollment ID: O20250401001771
Entity NameDelta Radiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881728327
PECOS PAC ID: 5294795308
Enrollment ID: O20250401003560

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael John Connolly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michael John Connolly, MD
10945 N Port Washington Rd Ste 201,
Mequon, WI 53092-5078

Ph: (262) 292-3151		Michael John Connolly, MD
10945 N Port Washington Rd Ste 201,
Mequon, WI 53092-5078

Ph: (262) 292-3151

Reviews and Comments


Radiology Doctors in Mequon, WI

Timothy L Workman, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092
Phone: 262-292-3151    
John Tomashek, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092
Phone: 262-292-3151    
Eric M Dorn, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092
Phone: 414-434-0461    
Cynthia Rice, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092
Phone: 414-434-0461    
Djerrick Cu Tan, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092
Phone: 262-292-3151    
Benjamin Broghammer, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092
Phone: 414-434-0461    
Michael Braun, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092
Phone: 414-434-0461    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.