NPIMap

Individual provider Active NPI

Anthony G Notino, MD

  • Diagnostic Radiology Physician
  • Williamsville, NY
National Provider Identifier
1427014448
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
209092 Issued in NY
Practice address
55 Spindrift Dr
Williamsville, NY 14221-7800
Phone
(716) 631-2500
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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 209092 NY Primary

Addresses

Primary practice location

55 Spindrift Dr
Williamsville, NY 14221-7800

Mailing address

700 E Morehead St Ste 300
Charlotte, NC 28202-2742

Other practice location 1

100 High St
Buffalo, NY 14203-1126
Phone (716) 859-2954

Other identifiers 20

IdentifierTypeStateIssuer
00026429107OtherUNIVERA
0142862OtherGHI
02458051MedicaidNY
P010209092OtherBLUE SHIELD
000527412006OtherBLUE SHIELD WNY
4194881OtherGHI
P040209092OtherROCHESTER BLUE SHIELD
195510FFOtherPREFERRED CARE
2090926WOtherNYWORKERS COMPENSATION
1611710OtherINDEPENDENT HEALTH
P020209092OtherBLUE SHIELD ROCHESTER
000527412008OtherBLUE SHIELD WNY
000527412001OtherBLUE SHIELD WNY
200928832OtherEMPIRE
P00081480OtherRR MEDICARE
00026429101OtherUNIVERA
00026429105OtherUNIVERA
040426003197OtherFIDELIS
P00061160OtherRAILROAD MEDICARE
P010209092OtherBLUE CHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040312001113 NY Practitioner - Diagnostic Radiology 5193614550 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rutgers New Jersey Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians
Niagara Frontier Radiologic Associates PCGroup PAC ID 0345349387, 21 clinicians
Borg and Ide Imaging PCGroup PAC ID 9931012960, 14 clinicians

Practice addresses (Care Compare)

1 Saredon PL
Suite 200
Rochester, NY 14606-4063
Phone (212) 772-3111

5300 Military Rd
Lewiston, NY 14092-1903
Phone (716) 297-4800

995 Senator Keating Blvd
BLDG 3
Rochester, NY 14618-2775
Phone (585) 241-6600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.33 of 100Reported as group
Quality
80
Improvement activities
40
Cost
77.76

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
93.14 of 100Reported as group
Quality
85
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209092NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Nov 1, 2016 Accepting new patients
Borg & Ide Imaging, PC Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Rochester General Hospital CurrentSince Nov 1, 2016 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Rochester General Hospital Current Accepting new patients
Advanced Digestive Care P a Past Accepting new patients
Lakeside Imaging, LLC Diagnostic Radiology Past Accepting new patients
Rochester Radiology Associates PC Diagnostic Radiology Past Accepting new patients
Northtowns Imaging PC Diagnostic Radiology Past Accepting new patients
Monmouth Medical Imaging, PA Diagnostic Radiology Past Accepting new patients
BR Imaging PC Diagnostic Radiology Past Accepting new patients
Northtowns Imaging PC Diagnostic Radiology Past Accepting new patients

Locations

27443 Network Pl
Chicago, IL 60673

27037 Network Pl
Chicago, IL 60673

127 North St
Batavia, NY 14020
Phone (585) 267-7510

875 Pre Emption Rd
Geneva, NY 14456
Phone (315) 789-5061

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

1 Saredon Pl
Ste 200
Rochester, NY 14606
Phone (585) 225-5735

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

995 Senator Keating Blvd
#B
Rochester, NY 14618

995 Senator Keating Blvd
Bldg 3
Rochester, NY 14618
Phone (585) 241-6600

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1427014448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E MOREHEAD ST STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SPINDRIFT DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217800",
            "telephone_number": "716-631-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 High St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142031126",
            "country_code": "US",
            "telephone_number": "716-859-2954",
            "fax_number": "716-859-2962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOTINO",
        "first_name": "ANTHONY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "209092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026429107",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0142862",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02458051",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "P010209092",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD WNY",
            "identifier": "000527412006",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "4194881",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROCHESTER BLUE SHIELD",
            "identifier": "P040209092",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "195510FF",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "2090926W",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "1611710",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ROCHESTER",
            "identifier": "P020209092",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD WNY",
            "identifier": "000527412008",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD WNY",
            "identifier": "000527412001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "200928832",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00081480",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026429101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026429105",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040426003197",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00061160",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010209092",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.