Organization Active NPI

Finger Lakes Radiology, LLC

  • Diagnostic Radiology Physician
  • Geneva, NY
National Provider Identifier
1003864745
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
FINGER LAKES RADIOLOGY, LLC
Practice address
35 Mason St
Geneva, NY 14456-1133
Phone
(315) 787-5399
Fax
(315) 787-5391
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ramani Rao, MDNPI 1013978899
Title
Partner
Phone
(315) 787-5399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X NY Primary

Addresses

Primary practice location

35 Mason St
Geneva, NY 14456-1133

Mailing address

PO Box 8000
Dept. 044
Buffalo, NY 14267-0002
Phone (716) 692-2160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040611000185 NY Part B Supplier - Clinic/Group Practice 9537142450 Receives reassigned benefits from 7 practitioners
Practice locations: Geneva, NY; Waterloo, NY; Seneca Falls, NY; Clifton Springs, NY; Penn Yan, NY

National Provider Directory

National Provider Directory

Locations

430 Clifton Springs Professional Park
Clifton Springs, NY 14432
Phone (315) 462-3501

35 Mason St
Geneva, NY 14456
Phone (315) 787-4749

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1003864745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8000",
            "address_2": "DEPT. 044",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142670002",
            "telephone_number": "716-692-2160",
            "fax_number": "716-213-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MASON ST",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561133",
            "telephone_number": "315-787-5399",
            "fax_number": "315-787-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FINGER LAKES RADIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "RAMANI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "315-787-5399",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.