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

Dr. Michael W. Itagaki, MD

Individual provider Diagnostic Radiology Physician · NPI 1902058555

Dr. Michael W. Itagaki, MD is a Diagnostic Radiology in Green Bay, Wisconsin. Qualified in 2005, 21 years ago. Practices with Mchs Hospitals Inc, a 1,194-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California, Washington and Wisconsin.

Years since qualifying
21
Licensed in
CA, WA, WI
In the registry since
2008
Specialties on file
5
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

2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone: (920) 288-4848
Fax: (920) 288-4956
Show map & directions

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

Additional practice locations (2)

  • 1160 Kepler Dr, Green Bay, WI 54311-8321 — (920) 288-4848
  • Marshfield Clinic, Marshfield, WI 54449 — (715) 387-5511

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 81016 (WI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 81016-20 (WI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence A99197 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD60125332 (WA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence MD60125332 (WA)

Record details

NPI number1902058555
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 15, 2008
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice McHs Hospitals Inc — 1194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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