Individual provider Active NPI

David Jahangir, MD

  • Diagnostic Radiology Physician
  • Albany, NY
National Provider Identifier
1013205947
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
125059507 Issued in IL
Practice address
315 S Manning Blvd
Albany, NY 12208-1707
Phone
(518) 525-1401
NPI assigned
Jul 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 325398 NY
Diagnostic Radiology Physician 2085R0202X 125059507 IL Primary

Addresses

Primary practice location

315 S Manning Blvd
Albany, NY 12208-1707

Mailing address

PO Box 14890
Albany, NY 12212-4890
Phone (518) 525-1550

Other practice location 1

1270 Belmont Ave
Schenectady, NY 12308-2104
Phone (518) 382-4558

Other practice location 2

1300 Massachusetts Ave
Troy, NY 12180-1628
Phone (518) 268-5590

Other practice location 3

279 Troy Rd
Rensselaer, NY 12144-9518
Phone (518) 880-6300

Other practice location 4

2 Empire Dr
Rensselaer, NY 12144-5730
Phone (518) 286-4899

Other practice location 5

2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3482

Other practice location 6

600 Northern Blvd
Albany, NY 12204-1004
Phone (518) 471-3280

Other practice location 7

713 Troy Schenectady Rd Ste 304
Latham, NY 12110-2490
Phone (518) 373-4448

Other practice location 8

1 Tallow Wood Dr
Clifton Park, NY 12065-2807
Phone (518) 373-4448

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181226000950 MN Practitioner - Diagnostic Radiology 4486956174 Reassigns benefits to 7 organizations
I20230920002927 NY Practitioner - Diagnostic Radiology 4486956174 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Northwestern University Feinberg Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellis HospitalGroup PAC ID 5890607410, 250 clinicians

Practice addresses (Care Compare)

1101 Nott St
Schenecctady, NY 12308-2425
Phone (518) 243-4000

2741 Inglewood Ave S
Saint Louis Park, MN 55416-3929
Phone (518) 243-3277

315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 525-1852

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125059507ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stevens Community Medical Center Inc CurrentSince Jul 1, 2022 Accepting new patients
Mankato Clinic LTD Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Ellis Hospital CurrentSince Sep 29, 2023 Accepting new patients
St. Francis Regional Medical Center CurrentSince Jul 1, 2019 Accepting new patients
Noran Neurological Clinic P.a. CurrentSince Jul 1, 2019 Accepting new patients
Stevens Community Medical Center Inc CurrentSince Jul 1, 2022 Accepting new patients
Stevens Community Medical Center Inc. Current Accepting new patients
St. Peter'S Health Partners Medical Associates, P.C. Diagnostic Radiology CurrentSince Sep 26, 2023 Accepting new patients
St Francis Regional Medical Center CurrentSince Jul 1, 2019 Accepting new patients
Warren Community Hospital, Inc. CurrentSince Aug 31, 2023 Accepting new patients
Quest Diagnostics LLC Il PastSince Jul 1, 2019 Accepting new patients

Locations (25 of 27)

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

111 Hundertmark Rd
Ste 115N
Chaska, MN 55318
Phone (952) 361-2450

7595 Anagram Dr
Eden Prairie, MN 55344
Phone (612) 573-2214

265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200

121 Drew Ave SE
Madelia, MN 56062
Phone (507) 642-3255

1230 E Main St
Mankato, MN 56001
Phone (507) 389-8502

800 E 28th St
Ste H2100
Minneapolis, MN 55407
Phone (612) 863-3900

2828 Chicago Ave
Ste 200
Minneapolis, MN 55407
Phone (612) 879-1502

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

3601 Minnesota Dr
Ste 200
Minneapolis, MN 55435
Phone (952) 992-5691

7505 Metro Blvd
Ste 400
Minneapolis, MN 55439
Phone 61257322002246

400 E 1st St
Morris, MN 56267
Phone (320) 589-1313

1455 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2200

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

300 W Good Samaritan Dr
Warren, MN 56762
Phone (218) 745-4211

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331

1 Tallow Wood Dr
Clifton Park, NY 12065
Phone (518) 373-4444

713 Troy Schenectady Rd
Ste 304
Latham, NY 12110
Phone (518) 373-4448

2 Empire Dr
Rensselaer, NY 12144
Phone (518) 286-3990

279 Troy Rd
Rensselaer, NY 12144
Phone (518) 286-1922

600 McClellan St
Schenectady, NY 12304
Phone (518) 382-2000

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

1270 Belmont Ave
Schenectady, NY 12308
Phone (518) 382-4500

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1013205947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-525-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S MANNING BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081707",
            "telephone_number": "518-525-1401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1270 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123082104",
            "country_code": "US",
            "telephone_number": "518-382-4558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Massachusetts Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121801628",
            "country_code": "US",
            "telephone_number": "518-268-5590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "279 Troy Rd",
            "address_purpose": "LOCATION",
            "city": "Rensselaer",
            "state": "NY",
            "postal_code": "121449518",
            "country_code": "US",
            "telephone_number": "518-880-6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Empire Dr",
            "address_purpose": "LOCATION",
            "city": "Rensselaer",
            "state": "NY",
            "postal_code": "121445730",
            "country_code": "US",
            "telephone_number": "518-286-4899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2215 Burdett Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802466",
            "country_code": "US",
            "telephone_number": "518-271-3482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Northern Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122041004",
            "country_code": "US",
            "telephone_number": "518-471-3280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "713 Troy Schenectady Rd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Latham",
            "state": "NY",
            "postal_code": "121102490",
            "country_code": "US",
            "telephone_number": "518-373-4448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Tallow Wood Dr",
            "address_purpose": "LOCATION",
            "city": "Clifton Park",
            "state": "NY",
            "postal_code": "120652807",
            "country_code": "US",
            "telephone_number": "518-373-4448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAHANGIR",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-12",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "325398",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "125059507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "315 S Manning Blvd",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122081707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.