Individual provider Active NPI

Brian A. Bianco, D.O.

  • Vascular & Interventional Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1093957094
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
OS014701 Issued in PA
Practice address
245 N 15TH St
Philadelphia, PA 19102-1101
Phone
(215) 762-1693
NPI assigned
Apr 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MB08907400 NJ
Vascular & Interventional Radiology Physician 2085R0204X OS014701 PA Primary

Addresses

Primary practice location

245 N 15TH St
Philadelphia, PA 19102-1101

Mailing address

245 N 15TH St
Philadelphia, PA 19102-1101
Phone (215) 762-1693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20201111000009 NJ Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 4486700705 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Nova Southeastern College of Osteo Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Jersey Radiology Associates P aGroup PAC ID 9133115587, 202 clinicians
Larchmont Imaging AssociatesGroup PAC ID 5193762433, 54 clinicians
Radiology Associates of Burlington County P aGroup PAC ID 7012954381, 153 clinicians

Practice addresses (Care Compare)

100 Carnie Blvd
Suite B5
Voorhees, NJ 08043-4514
Phone (888) 909-7572

103 Old Marlton Pike
Medford, NJ 08055-8772
Phone (609) 261-4500

175 Madison Ave
Mount Holly, NJ 08060-2038
Phone (609) 267-0700

210 Ark Rd
Mount Laurel, NJ 08054-3188
Phone (609) 261-4500

219 Sunset Rd
Willingboro, NJ 08046-1109
Phone (609) 261-4500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.33 of 100Reported as group
Quality
96.63
Promoting interoperability
99
Improvement activities
40
Cost
81.81

Merit-based Incentive Payment System (MIPS)

Final score
78.75 of 100Reported as group
Quality
75
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.17 of 100Reported as group
Quality
75
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.75 of 100Reported as group
Quality
75
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS014701PAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SJV Management, LLC CurrentSince Jul 24, 2022 Accepting new patients
Professional Service Fund of Deborah Heart & Lung Center CurrentSince Dec 6, 2021 Accepting new patients
Radiology Associates of Burlington County P a Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
South Jersey Radiology Associates P a Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Sjvi LLC Vascular & Interventional Radiology CurrentSince Dec 1, 2020 Accepting new patients
Professional Service Fund of Deborah- Anesthesia Current Accepting new patients
Larchmont Imaging Associates Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Regional Nephrology Associates, P.a. CurrentSince Mar 15, 2021 Accepting new patients
Northeast Kidney Care LLC PastSince Apr 1, 2024 Accepting new patients

Locations

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

315 Route 70 E
Ste B
Cherry Hill, NJ 08034
Phone (856) 375-6240

4622 Black Horse Pike
Ste 102
Mays Landing, NJ 08330
Phone (609) 829-3285

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

200 Century Pkwy
Ste E
Mount Laurel, NJ 08054
Phone (856) 482-2800

210 Ark Rd
Mount Laurel, NJ 08054
Phone (609) 261-4500

510 Jackson Ave
Northfield, NJ 08225
Phone 6093830200126

1307 White Horse Rd
Ste A102
Voorhees, NJ 08043
Phone (856) 374-4031

100 Carnie Blvd
Ste B5
Voorhees, NJ 08043
Phone (856) 751-0123

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1093957094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N 15TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021101",
            "telephone_number": "215-762-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N 15TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021101",
            "telephone_number": "215-762-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCO",
        "first_name": "BRIAN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-06",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MB08907400",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "OS014701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.