Individual provider Active NPI

Flavio Roberto Kamenetz, MD-PHD

  • Diagnostic Radiology Physician
  • Bronx, NY
National Provider Identifier
1023329299
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
238990 Issued in NY
Practice address
1200 Waters PL
Ste M108
Bronx, NY 10461-2728
Phone
(718) 931-5620
Fax
(718) 824-0706
NPI assigned
Jun 23, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 238990 NY Primary

Addresses

Primary practice location

1200 Waters PL
Ste M108
Bronx, NY 10461-2728

Mailing address

1200 Waters PL
Ste M108
Bronx, NY 10461-2728
Phone (718) 931-5620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100927000203 NY Practitioner - Diagnostic Radiology 5294851366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York at Stony Brook, School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Diagnostic Medical Imaging PCGroup PAC ID 8628967023, 7 clinicians

Practice addresses (Care Compare)

1200 Waters PL
RM M108
Bronx, NY 10461-0377
Phone (718) 931-5620

Merit-based Incentive Payment System (MIPS)

Final score
89.99 of 100Reported as group
Quality
78.04
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Diagnostic Medical Imaging,PC Diagnostic Radiology CurrentSince Jul 12, 2010 Accepting new patients
Calvary Hospital Inc CurrentSince Jan 1, 2023 Accepting new patients
Pet-CT Diagnostic Medical Imaging PC CurrentSince Jul 12, 2010 Accepting new patients
Calvary Hospital Inc CurrentSince Jan 1, 2023 Accepting new patients

Locations

1740 Eastchester Rd
Bronx, NY 10461
Phone (718) 518-2000

1200 Waters Pl
Rm M108
Bronx, NY 10461
Phone (718) 931-2300

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1023329299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WATERS PL",
            "address_2": "STE M108",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612728",
            "telephone_number": "718-931-5620",
            "fax_number": "718-824-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WATERS PL",
            "address_2": "STE M108",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612728",
            "telephone_number": "718-931-5620",
            "fax_number": "718-824-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMENETZ",
        "first_name": "FLAVIO",
        "middle_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "MD-PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-23",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "238990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.