CMS-1500 Box 24J / 33a • NPI
1255325262
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2085R0204X (CMS 94)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology
Box 32 Service Location & ZIP+4
44201 DEQUINDRE RD, TROY, MI, 48085-1117
✓ 9-Digit EDI 837 ZIP+4 (48085-1117)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1255325262 (PAUL C GRYZENIA, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1255325262 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | PAUL C GRYZENIA, MD |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology NUCC Code: 2085R0204X (Radiology, Vascular & Interventional Radiology) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 44201 DEQUINDRE RD, TROY, MI, 48085-1117 |
| Practice Telephone / Fax | Tel: (248) 964-5000 |
| Administrative Mailing Address | 26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI, 48033-3849 |
| Enumeration & Last Sync | Enumerated: 2005-09-06 | CMS Record Updated: 2022-07-29 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (2085R0204X)
What Does Taxonomy Code 2085R0204X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2085R0204X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (PAUL C GRYZENIA, MD)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2085R0202X — Radiology, Diagnostic RadiologyPlain English: Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist) | State: MA | License: 205707 | Primary: Secondary |
2085R0202X — Radiology, Diagnostic RadiologyPlain English: Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist) | State: MI | License: 4301104034 | Primary: Secondary |
2085R0204X — Radiology, Vascular & Interventional RadiologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology | State: MI | License: 1833495 | Primary: Secondary |
2085R0204X — Radiology, Vascular & Interventional RadiologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Radiology, Vascular and Interventional Radiology | State: MI | License: 4301104034 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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