Senayet Dereje Agonafer, M.D.

Individual provider Active NPI Diagnostic Radiology Physician · Baltimore, MD

NPI 1477849412 · NPPES record last updated Oct 17, 2016

Key facts

NPI
1477849412
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
285336 (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
Sex
Female
Sole proprietor
Yes

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.

Medicare Care Compare profile

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 PC (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 100 (group)
Quality
62.84
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20161103001662 NY Practitioner - Diagnostic Radiology 4688952146 Reassigns benefits to 4 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
285336NYMDDiagnostic Radiology Physician

Practice roles

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

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

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

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

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

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

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

Specialties & licenses

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 17, 2016.

{
    "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

All providers in Baltimore, MD · Diagnostic Radiology Physician in Maryland

Sources for this page

Verify at the official NPI Registry.