NPIMap

Individual provider Active NPI

Anthony E Foderaro, MD

  • Diagnostic Radiology Physician
  • Sellersville, PA
National Provider Identifier
1285635284
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD038418E Issued in PA
Practice address
711 Lawn Ave
BLDG 1
Sellersville, PA 18960-1575
Phone
(215) 257-5578
Fax
(215) 257-1350
NPI assigned
Aug 2, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 MD038418E PA Primary

Addresses

Primary practice location

711 Lawn Ave
BLDG 1
Sellersville, PA 18960-1575

Mailing address

711 Lawn Ave
BLDG 1
Sellersville, PA 18960-1575
Phone (215) 257-5578

Other identifiers 1

IdentifierTypeStateIssuer
1133217MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120120000021 PA Practitioner - Diagnostic Radiology 5799683181 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Pennsylvania State University College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Physician Assoc IncGroup PAC ID 1355243809, 164 clinicians

Practice addresses (Care Compare)

360 W Riddle St
Coaldale, PA 18218-1027
Phone (610) 868-1100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Physician Assoc Inc Diagnostic Radiology CurrentSince Jul 14, 2025 Accepting new patients
Grandview Radiology Associates Diagnostic Radiology CurrentSince Dec 4, 1987 Accepting new patients
Cedar Crest Imaging Past Accepting new patients

Locations

185 Roseberry St
Phillipsburg, NJ 08865
Phone (908) 213-6611

3 Parkinsons Rd
East Stroudsburg, PA 18301
Phone (570) 424-1102

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

700 Lawn Ave
Sellersville, PA 18960
Phone (215) 453-4000

711 Lawn Ave
Ste 1
Sellersville, PA 18960
Phone (215) 257-9370

711 Lawn Ave
Ste 2
Sellersville, PA 18960
Phone (215) 257-1050

100 St Lukes Ln
Stroudsburg, PA 18360
Phone (272) 212-1000

Interoperability endpoints

  • Direct secure messaging: afoderaro350676@direct-sluhn.org

Organizations & group practices 3

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 10

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1285635284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 LAWN AVE",
            "address_2": "BLDG 1",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601575",
            "telephone_number": "215-257-5578",
            "fax_number": "215-257-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 LAWN AVE",
            "address_2": "BLDG 1",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601575",
            "telephone_number": "215-257-5578",
            "fax_number": "215-257-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FODERARO",
        "first_name": "ANTHONY",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD038418E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1133217",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersville, PA

Sources for this page

Verify at the official NPI Registry.