Individual provider Active NPI

Paul-Michel Fontaine Dossous, MD

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1407148968
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
272697 Issued in NY
Practice address
61 E 77TH St
New York, NY 10075-1817
Phone
(212) 772-3111
NPI assigned
May 3, 2011
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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 63071 NY
Diagnostic Radiology Physician 2085R0202X 272697 NY Primary

Addresses

Primary practice location

61 E 77TH St
New York, NY 10075-1817

Mailing address

61 E 77TH St
New York, NY 10075-1817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190121000854 NY Practitioner - Diagnostic Radiology 9931446564 Reassigns benefits to 19 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
JS Weill Medical College, Cornell University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive MRI of New York PCGroup PAC ID 5193615474, 16 clinicians
Stand-Up MRI of Melville, PCGroup PAC ID 5496645756, 14 clinicians
Stand-Up MRI of Deer Park, P.C.Group PAC ID 2163317157, 15 clinicians
Stand-Up MRI of the Bronx, P.C.Group PAC ID 5698667467, 15 clinicians
Stand-Up MRI of Staten Island, PCGroup PAC ID 9436040904, 14 clinicians
Stand-Up MRI of Lynbrook, P.C.Group PAC ID 2668443375, 15 clinicians
Stand-Up MRI of Bensonhurst, PCGroup PAC ID 6002706637, 15 clinicians
Stand-Up MRI of Carle Place, P.C.Group PAC ID 3971498940, 14 clinicians
Stand-Up MRI of East Elmhurst PCGroup PAC ID 9335139328, 15 clinicians
Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians

Practice addresses (Care Compare)

1034 N Broadway
Suite 5
Yonkers, NY 10701-1329
Phone (914) 969-1818

110 Marcus Dr
Melville, NY 11747-4228
Phone (631) 454-0539

1118 Deer Park Ave
North Babylon, NY 11703-3102
Phone (631) 243-3222

1165 Wantagh Ave
Wantagh, NY 11793-2135
Phone (516) 781-1800

1234 Central Park Ave
Yonkers, NY 10704-1068
Phone (914) 337-3300

1710 Veterans Memorial Hwy
Islandia, NY 11749-1512
Phone (631) 348-0996

2050 Eastchester Rd
Suite 1B
Bronx, NY 10461-2203
Phone (718) 678-1970

2090 Hylan Blvd
Staten Island, NY 10306-3423
Phone (718) 351-0616

229 Broadway
Lynbrook, NY 11563-3295
Phone (516) 256-1558

24 Research Way
Suite 400
East Setauket, NY 11733-3470
Phone (631) 444-5361

2671 86TH St
Brooklyn, NY 11223-3565
Phone (718) 946-7304

31 Old Country Rd
Carle Place, NY 11514-1800
Phone (516) 746-2248

311 N St
Suite G10
White Plains, NY 10605-2217
Phone (914) 946-9400

519 Borden Ave
Apt 7a
Long Island City, NY 11101-5893
Phone (480) 306-6949

600 Northern Blvd
Great Neck, NY 11021-5200
Phone (516) 478-0004

61 E 77TH St
New York, NY 10075-1817
Phone (212) 772-3111

Merit-based Incentive Payment System (MIPS)

Final score
81.08 of 100Reported as group
Quality
62.84
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63071NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive MRI of New York, P.C. CurrentSince Mar 5, 2024 Accepting new patients
Stand-Up MRI of Bensonhurst, PC Diagnostic Radiology CurrentSince Mar 5, 2024 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
Stand-Up MRI of Brooklyn, P.C. Diagnostic Radiology CurrentSince Mar 5, 2024 Accepting new patients
Stand-Up MRI of Lynbrook, P.C. Diagnostic Radiology CurrentSince Mar 5, 2024 Accepting new patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Jun 24, 2019 Accepting new patients
Stand-Up MRI of Carle Place, P.C. Diagnostic Radiology CurrentSince Mar 5, 2024 Accepting new patients
Comprehensive MRI of New York, P.C. Diagnostic Radiology Current Accepting new patients
Stand-Up MRI of Melville, PC Diagnostic Radiology CurrentSince Mar 5, 2024 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
Stand-Up MRI of East Elmhurst, PC Diagnostic Radiology Current Accepting new patients
Stand-Up MRI of East Elmhurst, P.C. CurrentSince Mar 10, 2024 Accepting new patients
Stand-Up MRI of Staten Island, PC Diagnostic Radiology CurrentSince Mar 5, 2024 Accepting new patients
Stand-Up MRI of the Bronx, P.C. Diagnostic Radiology CurrentSince Mar 5, 2024 Accepting new patients
Howard Simon MD PLLC Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology CurrentSince Feb 1, 2019 Accepting new patients
Stand-Up MRI of Deer Park, P.C. Diagnostic Radiology CurrentSince Mar 5, 2024 Accepting new patients
Spectrum Imaging SC CurrentSince Sep 15, 2023 Accepting new patients
Howard John Simon MD PC Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
Damadian MRI in Canarsie, P.C. Diagnostic Radiology CurrentSince Mar 5, 2024 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
Comprehensive MRI of New York, P.C. CurrentSince Mar 5, 2024 Accepting new patients
Park West Radiology, PC Diagnostic Radiology PastSince Jul 1, 2008 Accepting new patients
Comprehensive MRI of New York, P.C. Diagnostic Radiology Past Accepting new patients
Scancare Diagnostics LLC Past Accepting new patients
Illinois Bone and Joint Institute LLC Past Accepting new patients
Advanced Radiological Imaging-Astoria PC Diagnostic Radiology PastSince Feb 1, 2019 Accepting new patients
Lucia's Pharmacy Inc. PastSince Nov 1, 2019 Accepting new patients

Locations

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111

27443 Network Pl
Chicago, IL 60673

2916 Astoria Blvd
Astoria, NY 11102
Phone (718) 204-5800

2035 Ralph Ave
Ste A5
Brooklyn, NY 11234
Phone (718) 209-1070

306 5th Ave
Brooklyn, NY 11215
Phone (718) 768-7700

31 Old Country Rd
Carle Place, NY 11514
Phone (516) 746-2248

7533 31st Ave
East Elmhurst, NY 11370
Phone (718) 779-2825

24 Research Way
Ste 400
East Setauket, NY 11733
Phone (631) 444-5361

8940 56th Ave
Flushing, NY 11373
Phone (718) 335-5532

600 Northern Blvd
Ste 117
Great Neck, NY 11021
Phone (516) 442-3461

1710 Veterans Memorial Hwy
Islandia, NY 11749
Phone (516) 348-0996

229 Broadway
Lynbrook, NY 11563
Phone (516) 256-1558

110 Marcus Dr
Melville, NY 11747
Phone (631) 390-1793

18 Squadron Blvd
New City, NY 10956
Phone (845) 368-3002

144 4th Ave
New York, NY 10003
Phone (212) 473-2300

147 W 15th St
New York, NY 10011
Phone (212) 473-5323

315 W 57th St
Ste LL4
New York, NY 10019
Phone (212) 698-5300

61 E 77th St
New York, NY 10075
Phone (212) 772-2130

1118 Deer Park Ave
North Babylon, NY 11703
Phone (631) 243-3222

2090 Hylan Blvd
Staten Island, NY 10306
Phone (718) 351-0616

2090 Hylan Blvd
Ste A
Staten Island, NY 10306

1165 Wantagh Ave
Wantagh, NY 11793
Phone (516) 781-1800

311 North St
Ste G-10
White Plains, NY 10605
Phone (914) 946-9400

1234 Central Park Ave
Yonkers, NY 10704
Phone (914) 337-3300

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1407148968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 E 77TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 E 77TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751817",
            "telephone_number": "212-772-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSSOUS",
        "first_name": "PAUL-MICHEL",
        "middle_name": "FONTAINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-03",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "63071",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "272697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.