Individual provider Active NPI

Vincent G. Cotroneo, M.D.

  • Diagnostic Radiology Physician
  • New Port Richey, FL
National Provider Identifier
1407802945
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25679 Issued in FL
Practice address
5539 Marine Pkwy
New Port Richey, FL 34652-4329
Phone
(727) 841-8225
Fax
(727) 846-8549
NPI assigned
May 26, 2006
Last updated
Jan 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0025679 FL
Diagnostic Radiology Physician 2085R0202X 25679 FL Primary

Addresses

Primary practice location

5539 Marine Pkwy
New Port Richey, FL 34652-4329

Mailing address

PO Box 1175
New Port Richey, FL 34656-1175
Phone (727) 841-8225

Other identifiers 2

IdentifierTypeStateIssuer
069380400MedicaidFL
300017506OtherFLRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, ME2 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
I20160209001037 NY Practitioner - Diagnostic Radiology 3173799582 Reassigns benefits to 2 organizations
I20160415000960 ME Practitioner - Diagnostic Radiology 3173799582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York at Buffalo School of Medicine, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lawrence Radiology Assoc PCGroup PAC ID 2264421122, 25 clinicians
Olean Radiology, PCGroup PAC ID 9133118862, 16 clinicians

Practice addresses (Care Compare)

50 Leroy St
Potsdam, NY 13676-1786
Phone (315) 265-3300

515 Main St
Olean, NY 14760-1513
Phone (716) 373-2600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0025679FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
St Lawrence Radiology Assoc PC Diagnostic Radiology CurrentSince Dec 12, 2015 Accepting new patients
Olean Radiology, PC Diagnostic Radiology CurrentSince Dec 1, 2015 Accepting new patients
Maritime Radiology Associates PC Diagnostic Radiology CurrentSince Jan 20, 2016 Accepting new patients
Radiology Associates LLC Diagnostic Radiology Past Accepting new patients
Radiology Associates LLC Diagnostic Radiology Past Accepting new patients
University Radiology at Buffalo, Inc. Diagnostic Radiology Past Accepting new patients

Locations

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101

3045 John Trush Jr Blvd
Cazenovia, NY 13035
Phone (315) 824-7040

140 W Main St
Cuba, NY 14727
Phone (585) 968-2000

77 W Barney St
Gouverneur, NY 13642
Phone (315) 287-1000

160 Broad St
Hamilton, NY 13346
Phone (315) 824-7040

4 Johnson Rd
Latham, NY 12110
Phone (518) 220-2080

1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711

4693 Commercial Dr
New Hartford, NY 13413
Phone (315) 507-5114

515 Main St
Olean, NY 14760
Phone (716) 373-2600

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

1014 Oswegatchie Trail Rd
Star Lake, NY 13690
Phone (315) 848-3351

1116 Arsenal St
Ste 504
Watertown, NY 13601
Phone (315) 782-2669

830 Washington St
Watertown, NY 13601
Phone (315) 785-4000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1407802945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1175",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346561175",
            "telephone_number": "727-841-8225",
            "fax_number": "727-846-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5539 MARINE PKWY",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524329",
            "telephone_number": "727-841-8225",
            "fax_number": "727-846-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTRONEO",
        "first_name": "VINCENT",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "0025679",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "25679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069380400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300017506",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.