Individual provider Active NPI

Roseanne Oliverio, MD

  • Diagnostic Radiology Physician
  • Williamsville, NY
National Provider Identifier
1073516985
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
161644 Issued in NY
Practice address
111 N Maplemere Rd Ste 120
Williamsville, NY 14221-3178
Phone
(716) 836-4646
Fax
(716) 836-4696
NPI assigned
May 24, 2005
Last updated
Aug 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X 161644 NY
Diagnostic Radiology Physician 2085R0202X 161644 NY Primary

Addresses

Primary practice location

111 N Maplemere Rd Ste 120
Williamsville, NY 14221-3178

Mailing address

111 N Maplemere Rd Ste 120
Williamsville, NY 14221-3178
Phone (716) 836-4646

Other identifiers 7

IdentifierTypeStateIssuer
000527990007OtherNYHEALTHNOW, INC.
00025673502OtherNYUNIVERA
P010161644OtherNYBLUE CHOICE / BLUE SHIELD
4165918OtherNYGHI PPO
1609172OtherNYIHA
MDH207OtherNYPREFERRED CARE - ROCHESTE
01655985MedicaidNY

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
I20090731000476 NY Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 3375531189 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
University of Rochester School of Medicine and Dentistry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Medical Imaging LLCGroup PAC ID 2163681859, 42 clinicians
Olean Medical Practice PLLCGroup PAC ID 0042698045, 56 clinicians

Practice addresses (Care Compare)

3085 Harlem Rd
Suite 150
Cheektowaga, NY 14225-2593
Phone (716) 844-5300

3850 Saunders Settlement Rd
Sanborn, NY 14132-9128
Phone (716) 898-2840

535 Main St
Suite 1
Olean, NY 14760-1500
Phone (716) 372-0141

Merit-based Incentive Payment System (MIPS)

Final score
45.23 of 100Reported as group
Quality
27.79
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Olean Medical Practice PLLC CurrentSince Oct 1, 2024 Accepting new patients
Western New York Radiology Associates LLC Diagnostic Radiology CurrentSince Apr 15, 2012 Accepting new patients
University Orthopaedic Services Inc. CurrentSince Nov 1, 2024 Accepting new patients
University Orthopaedic Services, Inc CurrentSince Nov 1, 2024 Accepting new patients
General Physician, PC CurrentSince Oct 1, 2024 Accepting new patients
Olean Radiology, PC Diagnostic Radiology CurrentSince Oct 15, 2020 Accepting new patients
Great Lakes Medical Imaging LLC Diagnostic Radiology CurrentSince Apr 15, 2012 Accepting new patients
Sisters Diagnostic Imaging Associates Diagnostic Radiology Past Accepting new patients
Silver Lake Medical Imaging, LLC Diagnostic Radiology PastSince Mar 14, 2002 Accepting new patients
Diagnostic Imaging Associates LLP Diagnostic Radiology Past Accepting new patients
Imaging Services of Western New York PC Diagnostic Radiology Past Accepting new patients
Radiology Associates of Buffalo Diagnostic Radiology Past Accepting new patients
Seton Imaging Radiology PLLC Diagnostic Radiology Past Accepting new patients
Advanced Digestive Care P a Past Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

160 Farber Hall
Buffalo, NY 14214
Phone (716) 829-2070

4949 Harlem Rd
Buffalo, NY 14226
Phone (716) 204-3201

818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000

3085 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 844-5000

3085 Harlem Rd
Ste 150
Cheektowaga, NY 14225
Phone (716) 844-5300

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

515 Main St
Olean, NY 14760
Phone (716) 373-2600

535 Main St
Olean, NY 14760
Phone (716) 372-0141

535 Main St
Ste 1
Olean, NY 14760
Phone (716) 372-0141

5959 Big Tree Rd
Ste 105
Orchard Park, NY 14127
Phone (716) 256-1114

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

3850 Saunders Settlement Rd
Ste 150
Sanborn, NY 14132

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

1116 Arsenal St
Ste 504
Watertown, NY 13601
Phone (315) 782-2669

111 N Maplemere Rd
Ste 120
Williamsville, NY 14221
Phone (716) 836-4646

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

199 Park Club Ln
Ste 300
Williamsville, NY 14221
Phone (716) 332-8074

116 Interstate Pkwy
Bradford, PA 16701
Phone (814) 362-8674

Organizations & group practices 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1073516985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N MAPLEMERE RD STE 120",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213178",
            "telephone_number": "716-836-4646",
            "fax_number": "716-836-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N MAPLEMERE RD STE 120",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213178",
            "telephone_number": "716-836-4646",
            "fax_number": "716-836-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVERIO",
        "first_name": "ROSEANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NY",
            "license": "161644",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "161644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNOW, INC.",
            "identifier": "000527990007",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00025673502",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE / BLUE SHIELD",
            "identifier": "P010161644",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "4165918",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "1609172",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE - ROCHESTE",
            "identifier": "MDH207",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01655985",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.