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

Dr. Michael Gregory Fazio, DO

Individual provider Diagnostic Radiology Physician · NPI 1811123433

Dr. Michael Gregory Fazio, DO is a Diagnostic Radiology in Belleville, Illinois. Qualified in 2009, 17 years ago. Practices with Virtual Radiologic Professionals LLC, a 393-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
17
Licensed in
IL
In the registry since
2009
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4500 Memorial Dr Dept Radiology
Belleville, IL 62226-5360
Phone: (618) 257-5613
Fax: (314) 454-4641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 036151550 (IL)

Record details

NPI number1811123433
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 10, 2009
Last updated in NPPESOctober 21, 2025
Certification dateJanuary 22, 2025
Mailing addressPo Box 7412011, Chicago, IL 60674-2011

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Virtual Radiologic Professionals Llc — 393 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations15 on file with Medicare

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