Active NPI
Brendan Skonieczki, MD
- Diagnostic Radiology Physician
- Dover, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- C1-0011145
- Practice address
- 640 S State St
Dover, DE 19901-3530 - Phone
- (302) 674-4700
- Fax
- (302) 480-9807
- NPI assigned
- Apr 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | C1-0011145 | DE | Primary |
Addresses
Primary practice location
640 S State St
Dover, DE 19901-3530
Mailing address
640 S. State St
Mail Code 3055
Dover, DE 19901-3530
Phone (302) 480-1688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- State University of New York at Buffalo School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
124 W Side Dr
Rehoboth Beach, DE 19971-1304
Phone (401) 632-7268
40 Polly Drummond Hill Rd
BLDG 4
Newark, DE 19711-5703
Phone (302) 737-5990
61 E 77TH St
New York, NY 10075-1817
Phone (212) 772-3111
640 S State St
Dover, DE 19901-3530
Phone (610) 892-8889
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.25 of 100
- Quality
- 75
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.08 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0011145 | DE | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware Radiology Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Southern Delaware Imaging Assoc | Diagnostic Radiology | Current | Accepting new patients |
| Hudson Valley Radiology Associates PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Bayhealth Radiologists LLC | Diagnostic Radiology | Current | Accepting new patients |
| Lenox Hill Radiology & Medical Imaging Associates, PC | Diagnostic Radiology | Current | Accepting new patients |
| Park Avenue Associates in Radiology PC | Diagnostic Radiology | Past | Accepting new patients |
| Koniver Fiss Mansoory MD PA | Diagnostic Radiology | Past | Accepting new patients |
| Park West Radiology, PC | Diagnostic Radiology | Past | Accepting new patients |
Locations
640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688
640 S State St
Dover, DE 19901
Phone (302) 744-4700
424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078
100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311
18383 Hudson Rd
Ste B
Milton, DE 19968
Phone (302) 725-3499
40 Polly Drummond Hill Rd
Bldg 4
Newark, DE 19711
Phone (302) 737-5990
3401 Brandywine Pkwy
Ste 102
Wilmington, DE 19803
Phone (302) 533-2160
27443 Network Pl
Chicago, IL 60673
29493 Network Pl
Chicago, IL 60673
9 Bond St
Fl 4
Brooklyn, NY 11201
Phone (718) 222-0202
8940 56th Ave
Flushing, NY 11373
Phone (718) 335-5532
18 Squadron Blvd
New City, NY 10956
Phone (845) 368-3002
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
111 N Highland Ave
Nyack, NY 10960
Phone (845) 639-6178
Organizations & group practices 8
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.
-
- Diagnostic Radiology Physician
- Dover, DE
- NPI 1366214124
-
- Diagnostic Radiology Physician
- Newark, DE
- NPI 1740706175
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1821036807
DE
-
- Diagnostic Radiology Physician
- Lewes, DE
- NPI 1780780627
-
- Diagnostic Radiology Physician
- New City, NY
- NPI 1174574115
DE
-
- Diagnostic Radiology Physician
- Wilmington, DE
- NPI 1083615561
-
- Diagnostic Radiology Physician
- Johnson City, NY
- NPI 1760447692
-
- Diagnostic Ultrasound Physician
- New York, NY
- NPI 1003855404
Diagnostic Radiology
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milford, DE
- NPI 1023006434
-
- General Acute Care Hospital
- Dover, DE
- NPI 1467546135
-
- General Acute Care Hospital
- Lewes, DE
- NPI 1821196486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755216000000",
"number": "1447478524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 S. STATE ST",
"address_2": "MAIL CODE 3055",
"city": "DOVER",
"state": "DE",
"postal_code": "199013530",
"telephone_number": "302-480-1688",
"fax_number": "302-480-9807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 S STATE ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199013530",
"telephone_number": "302-674-4700",
"fax_number": "302-480-9807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKONIECZKI",
"first_name": "BRENDAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2025-08-15",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "DE",
"license": "C1-0011145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.