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

Michael John Connolly, MD

Individual provider Diagnostic Radiology Physician · NPI 1861889909

Michael John Connolly, MD is a Diagnostic Radiology in Mequon, Wisconsin. Graduated from Medical College of Wisconsin in 2015, 11 years ago. Practices with Radiology Associates of Wausau SC, a 23-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Arkansas, Arizona, Hawaii and New Jersey and 1 more.

Years since qualifying
11
Trained at
Medical College of Wisconsin
Licensed in
AR, AZ, HI, NJ, WI
In the registry since
2015
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

10945 N Port Washington Rd Ste 201
Mequon, WI 53092-5078
Phone: (262) 292-3151
Show map & directions

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

Additional practice locations (3)

  • 4301 W Markham St # 556, Little Rock, AR 72205-7101 — (501) 686-8000
  • 310 Salem Woodstown Rd, Salem, NJ 08079-2064 — (856) 935-1000
  • 333 Pine Ridge Blvd, Wausau, WI 54401-4102 — (715) 847-2283

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 74869 (WI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 74869-20 (WI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 72289 (AZ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD-23870 (HI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 25MA12003700 (NJ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence E-17247 (AR)

Record details

NPI number1861889909
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 15, 2015
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025
Mailing address10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2015 (11 years in practice)
Group practice Radiology Associates Of Wausau Sc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations17 on file with Medicare

Other providers in Mequon