Organization Active NPI

Darius Melisaratos, MD, Radiology, PLLC

  • Diagnostic Radiology Physician
  • Staten Island, NY
National Provider Identifier
1124414636
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
DARIUS MELISARATOS, MD, RADIOLOGY, PLLC
Practice address
345 Seaview Ave
Staten Island, NY 10305-2244
Phone
(718) 980-4888
Fax
(718) 980-4873
NPI assigned
Apr 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Authorized official

Name
Darius P Melisaratos, M.D.NPI 1518183938
Title
Owner
Phone
(516) 874-8151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

345 Seaview Ave
Staten Island, NY 10305-2244

Mailing address

345 Seaview Ave
Staten Island, NY 10305-2244
Phone (718) 980-4888

Other identifiers 3

IdentifierTypeStateIssuer
180428OtherNYNY LICENSE REGISTRATION
040386OtherNYMEDICARE PTAN
A400132968OtherNYMEDICARE REASSIGNED PTAN

Other names 1

  • Precision Radiology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151125000604 NY Part B Supplier - Clinic/Group Practice 8820398704 Receives reassigned benefits from 1 practitioner
Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory

Locations

345 Seaview Ave
Staten Island, NY 10305
Phone (718) 668-2340

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1124414636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052244",
            "telephone_number": "718-980-4888",
            "fax_number": "718-980-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052244",
            "telephone_number": "718-980-4888",
            "fax_number": "718-980-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARIUS MELISARATOS, MD, RADIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "MELISARATOS",
        "authorized_official_first_name": "DARIUS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-874-8151",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE REGISTRATION",
            "identifier": "180428",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "040386",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE REASSIGNED PTAN",
            "identifier": "A400132968",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.