Active NPI
Mark Manganaro, DO
- Diagnostic Radiology Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 312934
- Practice address
- 601 Elmwood Ave
Rochester, NY 14642-0001 - Phone
- (585) 784-2985
- NPI assigned
- Jun 2, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2025-01667 | NC | |
| Diagnostic Radiology Physician | 2085R0202X | 312934 | NY | Primary |
Addresses
Primary practice location
601 Elmwood Ave
Rochester, NY 14642-0001
Mailing address
601 Elmwood Ave Box 648
Rochester, NY 14642-8648
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MI, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-2734
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025-01667 | NC | MD | Diagnostic Radiology Physician |
| 312934 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Enterprises Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiologists of Univ of Rochester | Diagnostic Radiology | Current | Accepting new patients |
| Novant Health Enterprises Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Novant Health Enterprises Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Novant Health Enterprises Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Novant Health Enterprises Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Novant Health Enterprises Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Novant Health Enterprises Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Novant Health Enterprises Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Novant Health Enterprises Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Novant Health Enterprises Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Novant Health Enterprises Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Novant Health Enterprises Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Novant Health Enterprises Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Novant Health Enterprises Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Triad Radiology Associates PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Vanderbilt University | Past | Accepting new patients |
Locations
3015 Maplewood Ave
Ste 200
Winston Salem, NC 27103
Phone (336) 794-4188
3010 Trenwest Dr
Winston Salem, NC 27103
Phone (336) 718-5844
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
601 Elmwood Ave
#648
Rochester, NY 14642
Phone (585) 275-1376
Interoperability endpoints
- mmanganaro229277@direct.urmc.rochester.edu
Organizations & group practices 17
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.
-
- Diagnostic Radiology Physician
- Rochester, NY
- NPI 1821030362
-
- Diagnostic Radiology Physician
- Charlotte, NC
- NPI 1043005689
-
- Diagnostic Radiology Physician
- Laurinburg, NC
- NPI 1144015777
-
- Diagnostic Radiology Physician
- Charlotte, NC
- NPI 1235924846
-
- Diagnostic Radiology Physician
- Huntersville, NC
- NPI 1386439909
-
- Diagnostic Radiology Physician
- Concord, NC
- NPI 1447045067
-
- Diagnostic Radiology Physician
- Clemmons, NC
- NPI 1457146060
-
- Diagnostic Radiology Physician
- Belmont, NC
- NPI 1578358180
-
- Diagnostic Radiology Physician
- Shelby, NC
- NPI 1629863261
-
- Diagnostic Radiology Physician
- Mooresville, NC
- NPI 1649065285
-
- Diagnostic Radiology Physician
- Matthews, NC
- NPI 1851186480
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dansville, NY
- NPI 1982625661
-
- General Acute Care Hospital
- Wellsville, NY
- NPI 1720030703
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1669126090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1013531326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE BOX 648",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146428648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "585-784-2985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGANARO",
"first_name": "MARK",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-02",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "2025-01667",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "312934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.