Roseanne Oliverio, MD

Individual provider Active NPI Diagnostic Radiology Physician · Williamsville, NY

NPI 1073516985 · NPPES record last updated Aug 21, 2023

Key facts

NPI
1073516985
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
161644 (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
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Diagnostic Radiology
Also: 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 LLC (42 clinicians)
Olean Medical Practice PLLC (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 100 (group)
Quality
27.79
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20090731000476 NY Practitioner - Diagnostic Radiology
Practitioner - Nuclear Medicine
3375531189 Reassigns benefits to 7 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
161644NYMDDiagnostic Radiology Physician

Practice roles

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

Locations

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

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

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

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

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

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

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

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

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

Specialties & licenses

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

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

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

Other providers in Williamsville, NY

All providers in Williamsville, NY · Diagnostic Radiology Physician in New York

Sources for this page

Verify at the official NPI Registry.