Individual provider Active NPI

Vadim Grechushkin, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1447561261
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
263704 Issued in NY
Practice address
650 1St Ave FL 7
New York, NY 10016-3280
Phone
(212) 263-9531
NPI assigned
Jun 25, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 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 263704 NY Primary

Addresses

Primary practice location

650 1St Ave FL 7
New York, NY 10016-3280

Mailing address

1750 N Bayshore Dr Apt 4901
Miami, FL 33132-3219
Phone (718) 710-5033

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vgretchouchkin481940@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 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
I20160817000767 NY Practitioner - Diagnostic Radiology 2264744309 Reassigns benefits to 7 organizations
I20230418002768 FL Practitioner - Diagnostic Radiology 2264744309 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
Atlantic Radiologists Professional Association LLCGroup PAC ID 3678621620, 71 clinicians
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

150 55TH St
Brooklyn, NY 11220-2508
Phone (718) 630-7000

16244 S Military TRL
560 NYU Langone Cardiology Delray Bea
Delray Beach, FL 33484-6532
Phone (561) 495-7787

1750 N Bayshore Dr
Apt 4901
Miami, FL 33132-3219
Phone (219) 767-6320

1750 N Bayshore Dr
Apt 5611
Miami, FL 33132-3222
Phone (888) 316-3880

23 Deer Valley Dr
Nesconset, NY 11767-1552
Phone (309) 671-8282

259 1St St
Mineola, NY 11501-3957
Phone (516) 222-8600

530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Medical Imaging CurrentSince Sep 24, 2018 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Aug 1, 2021 Accepting new patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
Atlantic Radiologists Professional Association LLC Diagnostic Radiology CurrentSince Nov 10, 2018 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Dec 5, 2025 Accepting new patients
Ami Atlanticare LLC CurrentSince Sep 24, 2018 Accepting new patients
New York University CurrentSince Nov 1, 2021 Accepting new patients
New York University CurrentSince Nov 1, 2021 Accepting new patients
Millennium Medical Imaging PC Diagnostic Radiology CurrentSince Oct 30, 2025 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Aug 1, 2021 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Dec 10, 2025 Accepting new patients

Locations

50 Water St
Fl 3
New York, NY 10004

227 Madison St
Fl 1
New York, NY 10002
Phone (212) 238-7815

227 Madison St
New York, NY 10002
Phone (212) 238-7000

300 Community Dr
Plandome, NY 11030

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

3050 Route 50
Stop 1
Saratoga Springs, NY 12866
Phone (518) 583-8435

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: vgrechushkin305090@direct.cooperhealth.edu
  • Direct secure messaging: vgrechushkin1852187@nychhc.direct-ci.com
  • Direct secure messaging: vgretchouchkin481940@nyumc.direct-ci.com

Organizations & group practices 14

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 14

Hospital & facility affiliations 12

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": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1447561261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 N BAYSHORE DR APT 4901",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331323219",
            "telephone_number": "718-710-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 1ST AVE FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163280",
            "telephone_number": "212-263-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRECHUSHKIN",
        "first_name": "VADIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "263704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vgretchouchkin481940@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "650 1st Ave Fl 7",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100163280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.