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
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
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
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161103001662 | NY | Practitioner - Diagnostic Radiology | 4688952146 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 285336 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Valley Radiology Associates PLLC | Diagnostic Radiology | Current |
Accepting new patients |
| Lenox Hill Radiology & Medical Imaging Associates, PC | Body Imaging | Current |
Accepting new patients |
| Westchester Medical Center Advanced Physician Services, PC | Body Imaging | Current |
Accepting new patients |
| Montefiore Medical Center | Current |
Accepting new patients | |
| Westchester Medical Center Advanced Physician Services PC | Current |
Accepting new patients | |
| Montefiore Medical Center | Diagnostic Radiology | Current |
Accepting new patients |
| Madison Avenue MRI PC | Diagnostic Radiology | Past |
Accepting new patients |
| Park West Radiology, PC | Body Imaging | Past |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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": []
}
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All providers in Baltimore, MD · Diagnostic Radiology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.