Joseph Genaro Mollura

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

289693-1 Issued in NY

Practice address

11050 Mount Belvedere Blvd
Fort Drum, NY 13602-5438

Phone

(315) 772-6094

NPI assigned

Sep 29, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, PA, OH, WV4 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 4

Specialty

Diagnostic Radiology

Education

Temple University School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Upmc Chautauqua at WcaGroup PAC ID 4385630342, 26 clinicians

Fayette Physician Network IncGroup PAC ID 3375865819, shared by 2 NPIs, 309 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Chautauqua at Wca Hospital, Jamestown, NY, CCN 330239
• Weirton Medical Center, Inc Hospital, Weirton, WV, CCN 510023
• Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050
• Princeton Community Hospital Assn Inc Hospital, Princeton, WV, CCN 510046
• Reynolds Memorial Hospital, Inc Hospital, Glen Dale, WV, CCN 510013

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Upmc Chautauqua at Wca

  • Hematology & Oncology Physician
  • Jamestown, NY
  • NPI 1295033298
  Medicare reassignment Care Compare group NPD
• Olean Radiology, PC

  • Diagnostic Radiology Physician
  • Olean, NY
  • NPI 1700829850
  Medicare reassignment NPD
• St Lawrence Radiology Assoc PC

  • Diagnostic Radiology Physician
  • Potsdam, NY
  • NPI 1154380863
  Medicare reassignment NPD
• Brighton Radiology Associates, P.C.

  • Diagnostic Radiology Physician
  • Beaver, PA
  • NPI 1881672434

  OH

  Medicare reassignment NPD
• Fayette Physician Network Inc

  • Family Medicine Physician
  • Friendsville, MD
  • NPI 1437823044

  OH, WV

  Medicare reassignment NPD
• Fayette Physician Network Inc

  • Surgery Physician
  • Uniontown, PA
  • NPI 1992107817
  Medicare reassignment NPD
• Heritage Valley Radiology, Inc.

  • Diagnostic Radiology Physician
  • Beaver, PA
  • NPI 1982403739
  Medicare reassignment NPD
• Upmc/HVHS Cancer Center

  • Radiation Oncology Physician
  • Moon Township, PA
  • NPI 1609843861
  Medicare reassignment NPD
• Upmc Chautauqua at Wca

  • Hospitalist Physician
  • Jamestown, NY
  • NPI 1033227111
  NPD
• Upmc Chautauqua at Wca

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Jamestown, NY
  • NPI 1568023687
  NPD
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

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

• Upmc Chautauqua at Wca

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Jamestown, NY
  • NPI 1568023687
  Care Compare affiliation
• Upmc Chautauqua at Wca

  • General Acute Care Hospital
  • Jamestown, NY
  • NPI 1770573222
  Care Compare affiliation
• Princeton Community Hospital Assn., Inc.

  • General Acute Care Hospital
  • Princeton, WV
  • NPI 1558313213
  Care Compare affiliation
• Reynolds Memorial Hospital, Inc

  • General Acute Care Hospital
  • Glen Dale, WV
  • NPI 1144228305
  Care Compare affiliation
• Weirton Medical Center, Inc

  • General Acute Care Hospital
  • Weirton, WV
  • NPI 1619921947
  Care Compare affiliation
• Wheeling Hospital Inc

  • General Acute Care Hospital
  • Wheeling, WV
  • NPI 1104821305
  Care Compare affiliation

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1093024754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11050 MOUNT BELVEDERE BLVD",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "136025438",
            "telephone_number": "315-772-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 MOUNT BELVEDERE BLVD",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "136025438",
            "telephone_number": "315-772-6094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6900 Georgia Ave NW",
            "address_2": "Walter Reed Army Medical Center-Radiology Residency",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "203070001",
            "country_code": "US",
            "telephone_number": "412-443-6826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLLURA",
        "first_name": "JOSEPH",
        "middle_name": "GENARO",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "289693-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaac P Mills, DO
• Joanna E Minichello, PT
• Jessica Elaine Minick
• Heather Minue, PT, DPT, ATC
• Diane Misercola, DENTAL HYGIENIST
• Jennifer L Monahan, BSN RN
• Anthony Moore
• Bailey Moorhead Beardsley, DMD
• Vanessa Mori-Barr, LCSW
• Savitri Motaparthi, M.D.

• Diagnostic Radiology Physician in Fort Drum, NY
• Providers in Fort Drum, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.