Individual provider Active NPI

Mani Razmjoo, MD

  • Vascular & Interventional Radiology Physician
  • Albany, NY
National Provider Identifier
1104245208
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
313825 Issued in NY
Practice address
315 S Manning Blvd
Albany, NY 12208-1707
Phone
(518) 525-1401
Fax
(518) 525-1200
NPI assigned
Apr 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 313825 NY
Diagnostic Radiology Physician 2085R0202X 277973 MA
Vascular & Interventional Radiology Physician 2085R0204X 313825 NY Primary

Addresses

Primary practice location

315 S Manning Blvd
Albany, NY 12208-1707

Mailing address

PO Box 14890
Albany, NY 12212-4890

Other practice location 1

600 Northern Blvd
Albany, NY 12204-1004
Phone (518) 471-3280

Other practice location 2

1270 Belmont Ave
Schenectady, NY 12308-2104
Phone (518) 382-4558

Other practice location 3

2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3482

Other practice location 4

1300 Massachusetts Ave
Troy, NY 12180-1628
Phone (518) 268-5590

Other practice location 5

110 Liberty St
Brockton, MA 02301-5674
Phone (508) 894-0400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY, WI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200706001831 MA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1153744495 Reassigns benefits to 4 organizations
I20220124001356 NY Practitioner - Diagnostic Radiology 1153744495 Reassigns benefits to 4 organizations
I20250825003333 WI Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 1153744495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Radiology Wisconsin LLCGroup PAC ID 9537595533, 111 clinicians
Ellis HospitalGroup PAC ID 5890607410, 250 clinicians
St. Peter'S Health Partners Medical Associates, P.C.Group PAC ID 6103061189, 480 clinicians

Practice addresses (Care Compare)

10180 Washington Ave
Mount Pleasant, WI 53177-1604
Phone (414) 973-7830

1101 Nott St
Schenecctady, NY 12308-2425
Phone (518) 243-4000

315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 525-1852

Hospital & facility affiliations

  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180
  • Ascension Columbia St Marys Hospital Milwaukee Hospital, Milwaukee, WI, CCN 520051
  • Ascension All Saints Hospital Hospital, Racine, WI, CCN 520096
  • Ascension SE Wisconsin Hospital Hospital, Milwaukee, WI, CCN 520136

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
313825NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Radiology Specialists, S C CurrentSince Jul 28, 2025 Accepting new patients
Signature Healthcare Medical Group Inc CurrentSince Jan 1, 2025 Accepting new patients
St. Peter'S Health Partners Medical Associates, P.C. Diagnostic Radiology CurrentSince Feb 28, 2022 Accepting new patients
Albany Advanced Imaging PLLC Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Premier Radiology Wisconsin, LLC Diagnostic Radiology CurrentSince Jul 28, 2025 Accepting new patients
Northeast Medical Imaging PC Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Ellis Hospital CurrentSince Sep 1, 2023 Accepting new patients
Albany Advanced Imaging PLLC Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Advanced Berkshire Medical Imaging, PC Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Medical X-Ray Consultants, LTD Diagnostic Radiology CurrentSince Oct 24, 2025 Accepting new patients
Medical Xray Consultants, LTD PastSince May 16, 2021 Accepting new patients

Locations

110 Liberty St
Brockton, MA 02301

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

10 Little Brook Rd
West Wareham, MA 02576

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331

3 Atrium Dr
Albany, NY 12205
Phone (518) 435-1234

3 Atrium Dr
Ste 160
Albany, NY 12205
Phone (518) 438-0600

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

600 McClellan St
Schenectady, NY 12304
Phone (518) 382-2000

1270 Belmont Ave
Schenectady, NY 12308
Phone (518) 382-4500

1300 Massachusetts Ave
Troy, NY 12180
Phone (518) 268-5000

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

10180 Washington Ave
Mount Pleasant, WI 53177
Phone (414) 769-4040

Interoperability endpoints

  • Direct secure messaging: mrazmjoo1632397@direct.trinity-health.org
  • Direct secure messaging: mani.razmjoo@direct.signature.masshiway.net

Organizations & group practices 11

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 6

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": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1104245208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S MANNING BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081707",
            "telephone_number": "518-525-1401",
            "fax_number": "518-525-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Northern Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122041004",
            "country_code": "US",
            "telephone_number": "518-471-3280",
            "fax_number": "518-471-3064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1270 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123082104",
            "country_code": "US",
            "telephone_number": "518-382-4558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2215 Burdett Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802466",
            "country_code": "US",
            "telephone_number": "518-271-3482",
            "fax_number": "518-271-3419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Massachusetts Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121801628",
            "country_code": "US",
            "telephone_number": "518-268-5590",
            "fax_number": "518-268-5534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Liberty St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023015674",
            "country_code": "US",
            "telephone_number": "508-894-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAZMJOO",
        "first_name": "MANI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "313825",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "277973",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "313825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "315 S Manning Blvd",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122081707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.