Individual provider Active NPI

Sunil S Trasi, MD

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1104800762
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
1418231 Issued in NY
Practice address
155 Canal St
New York, NY 10013-4511
Phone
(212) 431-9010
Fax
(212) 219-9291
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 1418231 NY Primary

Addresses

Primary practice location

155 Canal St
New York, NY 10013-4511

Mailing address

155 Canal St
New York, NY 10013-4511
Phone (212) 431-9010

Other identifiers 1

IdentifierTypeStateIssuer
00606280MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080423000515 NY Practitioner - Diagnostic Radiology 1355429895 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1418231NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CP Advanced Imaging PLLC Diagnostic Radiology CurrentSince May 1, 2008 Accepting new patients

Locations

33 Bowery
Ste B205
New York, NY 10002
Phone (212) 431-4200

155 Canal St
New York, NY 10013
Phone (212) 219-9135

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1104800762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CANAL ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134511",
            "telephone_number": "212-431-9010",
            "fax_number": "212-219-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 CANAL ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134511",
            "telephone_number": "212-431-9010",
            "fax_number": "212-219-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRASI",
        "first_name": "SUNIL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "1418231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00606280",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.