Active NPI
Damon J Deteso, MD
- Diagnostic Radiology Physician
- Saratoga SPGS, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 233692
- Practice address
- 211 Church St
Saratoga SPGS, NY 12866-1046 - Phone
- (518) 583-8461
- NPI assigned
- Oct 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 233692 | NY | Primary |
Addresses
Primary practice location
211 Church St
Saratoga SPGS, NY 12866-1046
Mailing address
4 Automation LN
Ste 125
Albany, NY 12205-1660
Phone (518) 275-7126
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Massachusetts Medical School, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
169 Riveride Dr
Binghamton, NY 13905-4246
Phone (607) 798-5111
17 Chenango Bridge Rd
Binghamton, NY 13901-1233
Phone (607) 772-2995
203 Old Military Rd
Lake Placid, NY 12946-1738
Phone (518) 650-7503
211 Church St
Saratoga Springs, NY 12866-1003
Phone (518) 583-8461
2233 State Route 86
Saranac Lake, NY 12983-5644
Phone (518) 897-2317
240 Riverside Dr
Johnson City, NY 13790-2727
Phone (518) 650-7503
276 -280 Robinson St
Binghamton, NY 13904-1659
Phone (607) 771-7234
3040 Route 50
Saratoga Springs, NY 12866-3073
Phone (518) 650-7503
3101 Shippers Rd
Vestal, NY 13850-2080
Phone (607) 786-4822
39 E Main St
Hancock, NY 13783-1128
Phone (607) 637-5700
500 5TH Ave
Owego, NY 13827-1620
Phone (607) 687-1122
6 Medical Park Dr
Malta, NY 12020-5051
Phone (518) 289-2024
6400 Collamer Rd
East Syracuse, NY 13057-1032
Phone (800) 533-9729
7 Herbert Dr
Latham, NY 12110-3801
Phone (518) 785-3511
7 Stetson Rd
Tupper Lake, NY 12986-2014
Phone (518) 359-7000
7 Timmerman Ave
St Johnsville, NY 13452-1017
Phone (518) 568-7145
84 E State St
Gloversville, NY 12078-1202
Phone (518) 773-8894
959 Route 9
Suite O
Queensbury, NY 12804-6290
Phone (518) 947-0931
99 E State St
Gloversville, NY 12078-1203
Phone (518) 773-5522
Hospital & facility affiliations
- St Marys Healthcare
- Saratoga Hospital
- Our Lady of Lourdes Memorial Hospital, Inc
- Adirondack Medical Center - Saranac Lake
- Nathan Littauer Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Medical Imaging PC | Diagnostic Radiology | Current | Accepting new patients |
| Comprehensive MRI of New York, P.C. | Diagnostic Radiology | Past | Accepting new patients |
Locations
427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
303 Main St
Binghamton, NY 13905
Phone (607) 729-8687
65 Pennsylvania Ave
Binghamton, NY 13903
Phone (607) 723-5393
17 Chenango Bridge Rd
Binghamton, NY 13901
Phone (607) 772-2995
6400 Collamer Rd
East Syracuse, NY 13057
Phone (315) 437-1622
415 E Main St
Endicott, NY 13760
Phone (607) 785-2460
99 E State St
Gloversville, NY 12078
Phone (518) 773-5690
39 E Main St
Hancock, NY 13783
Phone (607) 637-5700
150 Sawkill Rd
Kingston, NY 12401
Phone (845) 339-7700
203 Old Military Rd
Lake Placid, NY 12946
Phone (518) 523-1327
4 Johnson Rd
Latham, NY 12110
Phone (518) 220-2080
7 Herbert Dr
Latham, NY 12110
Phone (518) 785-3511
6 Medical Park Dr
Malta, NY 12020
Phone (518) 289-2020
42084 State Highway 28
Margaretville, NY 12455
Phone (845) 334-2819
202 S Central Ave
Mechanicville, NY 12118
Phone (518) 580-2099
2388 Route 9
Mechanicville, NY 12118
Phone (518) 587-0845
500 5th Ave
Owego, NY 13827
Phone (607) 687-1122
2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141
211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461
3040 Route 50
Saratoga Springs, NY 12866
Phone (518) 580-2170
7 Stetson Rd
Tupper Lake, NY 12986
Phone (518) 359-7000
Interoperability endpoints
- ddeteso109732@albanymed.direct-ci.com
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Saratoga Springs, NY
- NPI 1235114182
-
- Diagnostic Radiology Physician
- East Setauket, NY
- NPI 1124093018
Hospital & facility affiliations 26
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saranac Lake, NY
- NPI 1699709576
-
- General Acute Care Hospital
- Saranac Lake, NY
- NPI 1851601108
-
- General Acute Care Hospital
- Gloversville, NY
- NPI 1538296207
-
- Rural Acute Care Hospital
- Gloversville, NY
- NPI 1336145168
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1629087580
-
- Endocrinology, Diabetes & Metabolism Physician
- Gansevoort, NY
- NPI 1033371166
Hospital
-
- General Acute Care Hospital
- Saratoga Springs, NY
- NPI 1073569331
-
- General Acute Care Hospital
- Saratoga Springs, NY
- NPI 1093078560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1124018221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 AUTOMATION LN",
"address_2": "STE 125",
"city": "ALBANY",
"state": "NY",
"postal_code": "122051660",
"telephone_number": "518-275-7126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 CHURCH ST",
"city": "SARATOGA SPGS",
"state": "NY",
"postal_code": "128661046",
"telephone_number": "518-583-8461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DETESO",
"first_name": "DAMON",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "233692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saratoga SPGS, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.