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

Gina Fundaro, MD

Individual provider General Practice Physician · NPI 1275520512

Gina Fundaro, MD is a Diagnostic Radiology in Detroit, Michigan. Graduated from Wayne State University School of Medicine in 1999, 27 years ago. Practices with Regional Medical Imaging PC, a 22-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
27
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2005
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

4100 John R St
Detroit, MI 48201-2013
Phone: (313) 745-8042
Fax: (313) 745-2314
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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 4301074481 (MI)
General Practice Physician Taxonomy 208D00000X · Licence 4301074481 (MI)

Record details

NPI number1275520512
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 3, 2005
Last updated in NPPESOctober 7, 2020
Certification dateOctober 7, 2020

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Regional Medical Imaging Pc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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