NPIMap

Individual provider Active NPI

Hirohiko Ito, MD

  • Diagnostic Radiology Physician
National Provider Identifier
1386820363
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35.077554 Issued in OH
Practice address
386 Ooaza Takahata
Takahata, YAMAGATA 9920351
JP
Phone
81238521500
Fax
81238521515
NPI assigned
Jan 21, 2008
Last updated
Jan 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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 35.077554 OH Primary

Addresses

Primary practice location

386 Ooaza Takahata
Takahata, YAMAGATA 9920351
JP

Mailing address

601 Dodds Ave
Chattanooga, TN 37404-3911
JP
Phone (866) 730-5619

Other identifiers 2

IdentifierTypeStateIssuer
2010543OtherPAHIGHMARK
102095991-0001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV, NY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20080205000348 OH Practitioner - Diagnostic Radiology 9436231024 Reassigns benefits to 1 organization
I20150812009048 WV Practitioner - Diagnostic Radiology 9436231024
I20200213001538 NY Practitioner - Diagnostic Radiology 9436231024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Radiology Associates, LLPGroup PAC ID 4981686110, 42 clinicians

Practice addresses (Care Compare)

750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-5189

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.49 of 100Reported as group
Quality
77.62
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.077554OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trumbull Radiologists Inc Diagnostic Radiology CurrentSince Feb 25, 2019 Accepting new patients
University Radiology Associates, LLP Diagnostic Radiology CurrentSince Mar 2, 2020 Accepting new patients
Penn Imaging Associates PC Diagnostic Radiology Past Accepting new patients
Albert J. Cook M.D. Inc Diagnostic Radiology Past Accepting new patients
Ohio Imaging Centers Inc. Diagnostic Radiology Past Accepting new patients
Cambria Somerset Radiology & Nuclear Medicine Group, Inc. Diagnostic Radiology Past Accepting new patients
Ohio Imaging Associates Inc Diagnostic Radiology Past Accepting new patients

Locations

9360 River Rd
Marcy, NY 13403

224 Harrison St
Ste 601
Syracuse, NY 13202
Phone (315) 464-6672

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

810 S Main St
Akron, OH 44311
Phone (330) 480-2502

2588 State Route 5
Cortland, OH 44410
Phone (330) 841-5800

7623 Market St
Youngstown, OH 44512
Phone (330) 965-5100

Organizations & group practices 7

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1386820363",
    "addresses": [
        {
            "country_code": "JP",
            "country_name": "Japan",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "601 DODDS AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043911",
            "telephone_number": "866-730-5619",
            "fax_number": "423-698-3622"
        },
        {
            "country_code": "JP",
            "country_name": "Japan",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "386 OOAZA TAKAHATA",
            "city": "TAKAHATA",
            "state": "YAMAGATA",
            "postal_code": "9920351",
            "telephone_number": "81238521500",
            "fax_number": "81238521515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITO",
        "first_name": "HIROHIKO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-21",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.077554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "2010543",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102095991-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.