Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael D. Bazzani, MD

Individual provider Diagnostic Radiology Physician · NPI 1013118702

Dr. Michael D. Bazzani, MD is a Diagnostic Radiology in Saint Louis, Missouri. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2003, 23 years ago. Practices with West County Radiological Group Inc, a 105-clinician group and accepts Medicare assignment. Licensed in Missouri and Tennessee.

Years since qualifying
23
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
MO, TN
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone: (314) 525-1165
Fax: (314) 525-1485
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 2020011605 (MO)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MO00044498 (TN)

Record details

NPI number1013118702
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 30, 2007
Last updated in NPPESSeptember 7, 2022
Certification dateSeptember 7, 2022
Mailing address11475 Olde Cabin Rd Ste 200, Saint Louis, MO 63141-7129

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2003 (23 years in practice)
Group practice West County Radiological Group Inc — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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