NPIMap

Individual provider Active NPI

John Joseph Wasenko, M.D.

  • Diagnostic Radiology Physician
  • Rochester, NY
National Provider Identifier
1104840826
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
1465081 Issued in NY
Practice address
601 Elmwood Ave
Rochester, NY 14642-0539
Phone
(585) 275-2734
NPI assigned
Jul 26, 2006
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X D0034591 MD
Diagnostic Radiology Physician 2085R0202X 1465081 NY Primary
Diagnostic Radiology Physician 2085R0202X D0034591 MD

Addresses

Primary practice location

601 Elmwood Ave
Rochester, NY 14642-0539

Mailing address

601 Elmwood Ave Box 648
Rochester, NY 14642-0001
Phone (585) 275-2734

Other practice location 1

22 S Greene St Rm S2A19
Baltimore, MD 21201-1544
Phone (410) 328-3477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC, MD, DC4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20071212000551 NY Practitioner - Diagnostic Radiology 3072603257 Reassigns benefits to 3 organizations
I20201015001925 NC Practitioner - Diagnostic Radiology 3072603257 Reassigns benefits to 6 organizations
I20251114003122 MD Practitioner - Diagnostic Radiology 3072603257 Reassigns benefits to 3 organizations
I20251114003851 DC Practitioner - Diagnostic Radiology 3072603257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albany Medical College of Union University, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Imaging Center, LLCGroup PAC ID 2769378686, 56 clinicians

Practice addresses (Care Compare)

128 Laurel Ledge Way
Fletcher, NC 28732-0539
Phone (845) 871-3403

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-5700

419 W Redwood St
Baltimore, MD 21201-1734
Phone (410) 328-3225

5 N la Plata CT
Suite 104
La Plata, MD 20646-5207
Phone (301) 539-0345

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.74 of 100Reported as group
Quality
71.75
Promoting interoperability
100
Improvement activities
40
Cost
56.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0034591MDMDNeuroradiology Physician
1465081NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Diagnostic Imaging Specialists P a Neuroradiology CurrentSince Nov 15, 2025 Accepting new patients
University Imaging Center, LLC Neuroradiology CurrentSince Nov 15, 2025 Accepting new patients
Nuvance Health Medical Practice PC CurrentSince Dec 1, 2025 Accepting new patients
University of Maryland Diagnostic Radiology, LLC Neuroradiology CurrentSince Nov 15, 2025 Accepting new patients
University of Maryland Diagnostic Radiology, LLC Neuroradiology CurrentSince Nov 15, 2025 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Neuroradiology CurrentSince Nov 15, 2025 Accepting new patients
Radiologists of Univ of Rochester Diagnostic Radiology CurrentSince Feb 12, 2024 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Jul 14, 2025 Accepting new patients
Ali M Gharagozloo MD PC Diagnostic Radiology CurrentSince Oct 1, 2007 Accepting new patients
University Imaging Center, LLC Neuroradiology CurrentSince Nov 15, 2025 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Neuroradiology PastSince Jan 26, 2025 Accepting new patients
University Radiology Associates, LLP Neuroradiology Past Accepting new patients
Radiology Associates of Ithaca PC Diagnostic Radiology Past Accepting new patients
Columbus Radiology Corp Diagnostic Radiology Past Accepting new patients

Locations

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

22 S Greene St
Rm N2E23
Baltimore, MD 21201
Phone (410) 328-5656

22 S Greene St
Rm S2A19
Baltimore, MD 21201
Phone (410) 328-1565

419 W Redwood St
Baltimore, MD 21201
Phone (410) 328-5196

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

5 N La Plata Ct
Ste 104
La Plata, MD 20646
Phone (301) 539-0345

1331 N Elm St
Ste 200
Greensboro, NC 27401
Phone (336) 274-4285

4 Fuller St
Alexandria Bay, NY 13607
Phone (315) 482-1277

214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#648
Rochester, NY 14642
Phone (585) 275-1376

Organizations & group practices 16

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 16

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1104840826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 648",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420539",
            "telephone_number": "585-275-2734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 S Greene St Rm S2A19",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "410-328-3477",
            "fax_number": "410-328-0641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASENKO",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MD",
            "license": "D0034591",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "1465081",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0034591",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.