NPIMap

Individual provider Active NPI

Peter J Nicholson, M.D.

  • Diagnostic Radiology Physician
  • Jamestown, NY
National Provider Identifier
1225006901
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
176670-1 Issued in NY
Practice address
207 Foote Ave
Jamestown, NY 14701-7077
Phone
(716) 664-9731
Fax
(716) 664-9160
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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 176670-1 NY Primary

Addresses

Primary practice location

207 Foote Ave
Jamestown, NY 14701-7077

Mailing address

PO Box 788
Jamestown, NY 14702-0788
Phone (716) 664-9731

Other identifiers 1

IdentifierTypeStateIssuer
02391995MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040309000840 NY Practitioner - Diagnostic Radiology 1557259769 Reassigns benefits to 2 organizations
I20040729000624 PA Practitioner - Diagnostic Radiology 1557259769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
George Washington University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chautauqua Medical Practice PCGroup PAC ID 5294920203, 103 clinicians
Allegheny Clinic RadiologyGroup PAC ID 8426364738, 153 clinicians

Practice addresses (Care Compare)

189 E Main St
Westfield, NY 14787-1104
Phone (716) 793-2221

2101 Cedar BRK
Lakewood, NY 14750-9692
Phone (412) 330-5860

320 E N Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-2459

Hospital & facility affiliations

  • Westfield Memorial Hospital, Inc Hospital, Westfield, NY, CCN 330801
  • Westfield Memorial Hospital, Inc Hospital, Westfield, NY, CCN 330166
  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009
  • Forbes Hospital Hospital, Monroeville, PA, CCN 390267
  • Allegheny General Hospital Hospital, Pittsburgh, PA, CCN 390050

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
176670-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chautauqua Medical Practice, P.C. CurrentSince Apr 8, 2024 Accepting new patients
Allegheny Clinic Radiology Diagnostic Radiology CurrentSince Mar 12, 2024 Accepting new patients
Associated Radiologists of the Finger Lakes PC Diagnostic Radiology Past Accepting new patients
Magnetic Resonance Imaging of Central New York, PLLC Diagnostic Radiology Past Accepting new patients
Crouse Radiology Associates LLP Diagnostic Radiology Past Accepting new patients
Park Avenue Associates in Radiology PC Diagnostic Radiology PastSince Mar 16, 2020 Accepting new patients

Locations

189 E Main St
Westfield, NY 14787
Phone (716) 326-4921

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

600 Aberdeen Dr
#B
Somerset, PA 15501

Interoperability endpoints

  • Direct secure messaging: pnicholson865876@direct.ahn.org

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1225006901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 788",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147020788",
            "telephone_number": "716-664-9731",
            "fax_number": "716-664-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 FOOTE AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147017077",
            "telephone_number": "716-664-9731",
            "fax_number": "716-664-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "PETER",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "176670-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02391995",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.