Individual provider Active NPI

Daniel Portal, MD

  • Diagnostic Radiology Physician
  • Lawrence, NY
National Provider Identifier
1104358480
Registry record updated Oct 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
294937 Issued in NY
Practice address
148 Harborview S
Lawrence, NY 11559-1908
Phone
(167) 291-7705
NPI assigned
Mar 28, 2017
Last updated
Oct 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA12114300 NJ
Diagnostic Radiology Physician 2085R0202X 0101283774 VA
Diagnostic Radiology Physician 2085R0202X ME160028 FL
Diagnostic Radiology Physician 2085R0202X 294937 NY Primary
Vascular & Interventional Radiology Physician 2085R0204X 294937 NY
Diagnostic Radiology Physician 2085R0202X MD263650 HI

Addresses

Primary practice location

148 Harborview S
Lawrence, NY 11559-1908

Mailing address

148 Harborview S
Lawrence, NY 11559-1908
Phone (516) 729-1770

Other practice location 1

8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 369-8073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA, KY, WI, MI, DC, FL, MA8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20231012002361 NY Practitioner - Diagnostic Radiology 3577808179 Reassigns benefits to 22 organizations
I20241209003435 VA Practitioner - Diagnostic Radiology 3577808179 Reassigns benefits to 4 organizations
I20250113001051 KY Practitioner - Diagnostic Radiology 3577808179 Reassigns benefits to 1 organization
I20250910002386 WI Practitioner - Diagnostic Radiology 3577808179 Reassigns benefits to 10 organizations
I20251006002305 MI Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 3577808179 Reassigns benefits to 6 organizations
I20251110002335 DC Practitioner - Diagnostic Radiology 3577808179 Reassigns benefits to 1 organization
I20251126002070 FL Practitioner - Diagnostic Radiology 3577808179 Reassigns benefits to 1 organization
I20260423000152 MA Practitioner - Diagnostic Radiology 3577808179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Langlade Hospital - Hotel Dieu of St Joseph of Antigo WisconsinGroup PAC ID 1557271202, shared by 7 NPIs, 86 clinicians
Medical Faculty Associates, IncGroup PAC ID 4082528898, 676 clinicians
Aspirus Medford Hospital and Clinics IncGroup PAC ID 5799688602, shared by 9 NPIs, 126 clinicians
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians
University of Louisville Physicians IncGroup PAC ID 3476725599, shared by 5 NPIs, 1,438 clinicians
Foundation Radiology Group PCGroup PAC ID 3779683537, 90 clinicians
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians
Northern Arizona Radiology P CGroup PAC ID 4880683085, 20 clinicians
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians
East Post Road Medical Services PCGroup PAC ID 6406198506, 419 clinicians
Eastpointe Radiologists PCGroup PAC ID 7618876327, 112 clinicians
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians
Divine Savior Healthcare IncGroup PAC ID 5799684007, 135 clinicians
Maimonides Medical Center - MMC Radiology FPPGroup PAC ID 1456241447, 56 clinicians
Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians

Practice addresses (Care Compare)

112 E 5TH Ave
Antigo, WI 54409-2710
Phone (715) 623-2331

1200 Pecan St SE
Washington, DC 20032-2652
Phone (771) 444-6200

135 S Gibson St
Medford, WI 54451-1622
Phone (715) 748-8100

148 Harborview S
Lawrence, NY 11559-1908
Phone (405) 949-4112

170 E 77TH St Lower Level
Simonmed Imaging Carnegie Hill
New York, NY 10075-1912
Phone (212) 369-9200

2251 N Shore Dr
Rhinelander, WI 54501-6710
Phone (715) 361-2000

2817 New Pinery Rd
Portage, WI 53901-9240
Phone (608) 742-4131

4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-6158

530 S Jackson St
Louisville, KY 40202-1675
Phone (502) 852-5851

78 Medical Ctr Dr
Fishersville, VA 22939-2332
Phone (540) 932-4075

8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 369-8073

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.46 of 100Reported as apm
Quality
90.92
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.45 of 100Reported as group
Quality
79.76
Promoting interoperability
100
Improvement activities
40
Cost
75.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME160028FLMDDiagnostic Radiology Physician
25MA12114300NJMDDiagnostic Radiology Physician
294937NYMDDiagnostic Radiology Physician
0101283774VAMDDiagnostic Radiology Physician

Practice roles (60 of 62)

OrganizationSpecialtyStatusNew patients
Aspirus Keweenaw CurrentSince Oct 27, 2025 Accepting new patients
University of Virginia Physicians Group CurrentSince Nov 8, 2024 Accepting new patients
Southside Faculty Medical Affiliates University Faculty Practice Corp CurrentSince Oct 1, 2023 Accepting new patients
Augusta Health Care, Inc CurrentSince Dec 3, 2024 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Jul 5, 2025 Accepting new patients
North Shore-Lij Medical PC CurrentSince Dec 1, 2022 Accepting new patients
Aspirus Ironwood Hospital & Clinics Inc. CurrentSince Oct 27, 2025 Accepting new patients
Aspirus Keweenaw CurrentSince Oct 27, 2025 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Sep 8, 2025 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Sep 15, 2025 Accepting new patients
White Plains Physician Services PC CurrentSince Aug 1, 2025 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince Sep 15, 2025 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Sep 15, 2025 Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Sep 21, 2025 Accepting new patients
The Howard Young Medical Center, Inc. Current Accepting new patients
Aspirus Keweenaw Current Accepting new patients
Augusta Medical Group CurrentSince Dec 3, 2024 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Aug 14, 2023 Accepting new patients
Augusta Medical Group CurrentSince Dec 3, 2024 Accepting new patients
Perfect Health Medical LLC CurrentSince Nov 24, 2024 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Oct 1, 2025 Accepting new patients
University of Louisville Physicians, Inc. Diagnostic Radiology CurrentSince Dec 19, 2024 Accepting new patients
Aspirus Keweenaw CurrentSince Oct 27, 2025 Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. Current Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Sep 8, 2025 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Sep 15, 2025 Accepting new patients
Bath County Community Hospital CurrentSince Feb 3, 2026 Accepting new patients
Medical Faculty Associates, Inc CurrentSince Sep 15, 2025 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Sep 8, 2025 Accepting new patients
Salem Community Hospital Diagnostic Radiology CurrentSince Feb 15, 2024 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Oct 27, 2025 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jun 23, 2025 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Salem Community Hospital Diagnostic Radiology CurrentSince Aug 5, 2025 Accepting new patients
Unc Physicians Network LLC CurrentSince Oct 7, 2025 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Sep 15, 2025 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Oct 27, 2025 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin CurrentSince Sep 15, 2025 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Oct 27, 2025 Accepting new patients
University Hospitals Medical Group Inc Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Sep 15, 2025 Accepting new patients
Aspirus Eagle River Hospital, Inc. CurrentSince Sep 15, 2025 Accepting new patients
Augusta Health Care, Inc. Diagnostic Radiology CurrentSince Dec 3, 2024 Accepting new patients
Foundation Radiology Group PC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Jan 26, 2026 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Sep 8, 2025 Accepting new patients
Maimonides Medical Center - MMC Radiology FPP Diagnostic Radiology CurrentSince Jul 5, 2025 Accepting new patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology CurrentSince Jul 18, 2024 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin Current Accepting new patients
East Post Road Medical Services PC Diagnostic Radiology CurrentSince Jul 22, 2025 Accepting new patients
Uva Outpatient Imaging Culpeper, LLC Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Eastpointe Radiologists, P.C. Diagnostic Radiology CurrentSince Aug 18, 2025 Accepting new patients
Howard John Simon MD PC Diagnostic Radiology CurrentSince Jun 23, 2025 Accepting new patients
Daniel Portal MD PLLC Vascular & Interventional Radiology CurrentSince May 10, 2026 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Jun 23, 2025 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. Current Accepting new patients
Millennium Medical Imaging PC Diagnostic Radiology PastSince Sep 1, 2025 Accepting new patients

Locations (25 of 57)

1200 Pecan St SE
Washington, DC 20032
Phone (610) 382-4422

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

2521 Del Prado Blvd N
Cape Coral, FL 33909
Phone (239) 242-1357

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

29980 Network Pl
Chicago, IL 60673

7752 Solution Ctr
Chicago, IL 60677

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

51307 Gratiot Ave
Chesterfield, MI 48051
Phone (586) 741-3772

1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121

N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

4426 18th Ave
Brooklyn, NY 11204
Phone (718) 635-9700

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

500 Commack Rd
Commack, NY 11725
Phone (631) 638-0150

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

2200 Northern Blvd
Ste 100C
Greenvale, NY 11548
Phone (516) 325-7400

1229 Broadway
Ste 103
Hewlett, NY 11557
Phone (517) 461-5900

300 Community Dr
Manhasset, NY 11030

510 Hicksville Rd
Massapequa, NY 11758
Phone (516) 729-2626

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: dportal68691@northwell.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4

Organizations & group practices 66

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 66

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": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792281600000",
    "number": "1104358480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 HARBORVIEW S",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591908",
            "telephone_number": "516-729-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 HARBORVIEW S",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591908",
            "telephone_number": "167-291-7705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8700 Sudley Rd",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201104418",
            "country_code": "US",
            "telephone_number": "703-369-8073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTAL",
        "first_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2026-10-18",
        "certification_date": "2026-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA12114300",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101283774",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME160028",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "294937",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "294937",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "MD263650",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, NY

Sources for this page

Verify at the official NPI Registry.