Individual provider Active NPI

Sam Altman, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1275825291
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
278942 Issued in NY
Practice address
525 E 68TH Street, Box 141, Department of Radiology
Newyork-Presbyterian - Weill Cornell Medical College
New York, NY 10065-4885
Phone
(212) 746-6000
Fax
(646) 962-0122
NPI assigned
May 10, 2011
Last updated
Jul 31, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Diagnostic Radiology Physician 2085R0202X 278942 NY Primary

Addresses

Primary practice location

525 E 68TH Street, Box 141, Department of Radiology
Newyork-Presbyterian - Weill Cornell Medical College
New York, NY 10065-4885

Mailing address

575 Lexington Ave, Suite 540
Newyork-Presbyterian - Weill Cornell Medical College
New York, NY 10022-6102
Phone (212) 746-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150710000239 NY Practitioner - Diagnostic Radiology 4688986243 Reassigns benefits to 6 organizations
I20260119000017 NJ Practitioner - Diagnostic Radiology 4688986243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York at Stony Brook, School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunset Park Radiology PCGroup PAC ID 6608247291, 32 clinicians
Radiology Associates of Main Street PCGroup PAC ID 5799677522, 52 clinicians
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians

Practice addresses (Care Compare)

15459 Riverside Dr
Beechhurst, NY 11357-1339
Phone (212) 965-9888

21 Ivy Close
Forest Hills, NY 11375-6020
Phone (718) 670-1050

280 Riverside Dr
Apt 10B
New York, NY 10025-9027
Phone (201) 447-8000

3225 Francis Lewis Blvd
Flushing, NY 11358-1922
Phone (718) 428-1500

4 Valley Health PLZ
Paramus, NJ 07652-3619
Phone (800) 825-5391

5521 8TH Ave
FL 6
Brooklyn, NY 11220-3515
Phone (718) 928-2588

5645 Main St
Flushing, NY 11355-5045
Phone (718) 428-1500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Main Street PC Diagnostic Radiology CurrentSince Apr 1, 2019 Accepting new patients
North Shore Hematology Oncology Associates PC CurrentSince Jul 1, 2023 Accepting new patients
Valley Physician Services PC CurrentSince Oct 12, 2025 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Sunset Park Radiology PC Diagnostic Radiology CurrentSince Feb 20, 2024 Accepting new patients
Main Street Radiology at Bayside LLC Diagnostic Radiology CurrentSince Apr 1, 2019 Accepting new patients
Fpa Hospital Based CurrentSince Jun 1, 2016 Accepting new patients
Fpa Hospital Based Diagnostic Radiology CurrentSince Jun 1, 2016 Accepting new patients

Locations

5521 8th Ave
Fl 6
Brooklyn, NY 11220
Phone (718) 928-2588

3225 Francis Lewis Blvd
Flushing, NY 11358
Phone 61421018851070

7206 Northern Blvd
Jackson Heights, NY 11372
Phone (718) 670-6824

3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: saa9114@direct.nyp.org

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1275825291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LEXINGTON AVE, SUITE 540",
            "address_2": "NEWYORK-PRESBYTERIAN - WEILL CORNELL MEDICAL COLLEGE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100226102",
            "telephone_number": "212-746-6000",
            "fax_number": "646-962-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH STREET, BOX 141, DEPARTMENT OF RADIOLOGY",
            "address_2": "NEWYORK-PRESBYTERIAN - WEILL CORNELL MEDICAL COLLEGE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654885",
            "telephone_number": "212-746-6000",
            "fax_number": "646-962-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTMAN",
        "first_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-10",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "278942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.