Individual provider Active NPI

Senayet Dereje Agonafer, M.D.

  • Diagnostic Radiology Physician
  • Baltimore, MD
National Provider Identifier
1477849412
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
285336 Issued in NY
Practice address
3001 Hanover St
Department of Medicine
Baltimore, MD 21225-1233
Phone
(410) 350-3565
Fax
(410) 354-0186
NPI assigned
Jun 28, 2011
Last updated
Oct 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 285336 NY Primary
Body Imaging Physician 2085B0100X 285336 NY

Addresses

Primary practice location

3001 Hanover St
Department of Medicine
Baltimore, MD 21225-1233

Mailing address

2616 Erwin Rd
Unit 2224
Durham, NC 27705-3843
Phone (682) 225-0511

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
I20161103001662 NY Practitioner - Diagnostic Radiology 4688952146 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Duke University School of Medicine, 2011
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

Practice addresses (Care Compare)

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
285336NYMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Diagnostic Radiology CurrentSince Sep 17, 2016 Accepting new patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Montefiore Medical Center CurrentSince Sep 17, 2016 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Nov 1, 2016 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Body Imaging CurrentSince May 1, 2017 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Body Imaging CurrentSince Nov 1, 2016 Accepting new patients
Madison Avenue MRI PC Diagnostic Radiology PastSince May 1, 2017 Accepting new patients
Park West Radiology, PC Body Imaging PastSince Jul 1, 2008 Accepting new patients

Locations

27443 Network Pl
Chicago, IL 60673

111 E 210th St
Bronx, NY 10467

200 E Gun Hill Rd
Bronx, NY 10467
Phone (718) 798-5449

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

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

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

240 Madison Ave
New York, NY 10016
Phone (212) 490-3930

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

5 Columbus Cir
Ste 9
New York, NY 10019
Phone (212) 590-5500

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

111 N Highland Ave
Nyack, NY 10960
Phone (845) 639-6178

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

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

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1477849412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 ERWIN RD",
            "address_2": "UNIT 2224",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053843",
            "telephone_number": "682-225-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 HANOVER ST",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212251233",
            "telephone_number": "410-350-3565",
            "fax_number": "410-354-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGONAFER",
        "first_name": "SENAYET",
        "middle_name": "DEREJE",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "285336",
            "primary": true
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NY",
            "license": "285336",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.