Active NPI
Roman Gabriel Politi, MD
- Vascular & Interventional Radiology Physician
- Ithaca, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 250590
- Practice address
- 101 Dates Dr
Department of Interventional Radiology
Ithaca, NY 14850-1342 - Phone
- (607) 277-3790
- NPI assigned
- May 29, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 250590 | MA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 250590 | MA | Primary |
Addresses
Primary practice location
101 Dates Dr
Department of Interventional Radiology
Ithaca, NY 14850-1342
Mailing address
101 Dates Dr
Department of Interventional Radiology
Ithaca, NY 14850-1342
Phone (607) 277-3790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Jefferson Medical College of Thomas Jefferson University, 2007
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
201 Dates Dr
Ithaca, NY 14850-1345
Phone (607) 269-0033
300 Kensington Ave
New Britain, CT 06051-3916
Phone (860) 258-3480
435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 949-2700
863 N Main St Ext
Wallingford, CT 06492-2434
Hospital & facility affiliations
- Cayuga Medical Center at Ithaca
- The Hospital of Central Connecticut
- William W Backus Hospital
- Midstate Medical Center
- Schuyler Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.17 of 100
- Quality
- 78.34
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 82.87
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 250590 | MA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Imaging Services of CT, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Starling Physicians, PLLC | Current | Accepting new patients | |
| Meriden Imaging Center, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Cayuga Medical Associates, PC | Current | Accepting new patients | |
| Radiology Associates of Wyoming Valley, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Scranton Hospitalist Physician Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| Midstate Radiology Associates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of Ithaca PC | Diagnostic Radiology | Current | Accepting new patients |
| Starling Physicians PLLC | Current | Accepting new patients |
Locations
100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830
680 S Main St
Cheshire, CT 06410
Phone (203) 272-3595
435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
300 Kensington Ave
New Britain, CT 06051
Phone (860) 224-6200
1 Towne Park Plz
Norwich, CT 06360
Phone (860) 886-1433
326 Washington St
Norwich, CT 06360
Phone (860) 701-0140
35 Talcottville Rd
Vernon Rockville, CT 06066
Phone (860) 870-6337
101 N Plains Rd
Ste 1A-1
Wallingford, CT 06492
Phone (203) 265-0018
101 N Plains Rd
Wallingford, CT 06492
Phone (203) 265-0018
863 N Main Street Ext
Wallingford, CT 06492
1260 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 258-3477
101 Harris B Dates Dr
Ithaca, NY 14850
Phone (607) 274-4011
310 Taughannock Blvd
Fl 4
Ithaca, NY 14850
Phone (607) 269-0100
201 Dates Dr
Ste 101
Ithaca, NY 14850
Phone (607) 269-0033
746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079
575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300
575 N River St
Wilkes Barre Township, PA 18702
Phone (570) 283-3222
Interoperability endpoints
- rpoliti21112@direct.xtensys.com
- rpoliti@hiemail.healtheconnections.org
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Ithaca, NY
- NPI 1679525455
-
- Diagnostic Radiology Physician
- Wallingford, CT
- NPI 1508812561
-
- Internal Medicine Physician
- Rocky Hill, CT
- NPI 1467537290
-
- Diagnostic Radiology Physician
- Ithaca, NY
- NPI 1467566190
-
- Diagnostic Radiology Physician
- Groton, CT
- NPI 1093760431
-
- Diagnostic Radiology Physician
- Wilkes Barre, PA
- NPI 1174528707
NY
-
- Diagnostic Radiology Physician
- Scranton, PA
- NPI 1023317849
NY
-
- Durable Medical Equipment & Medical Supplies
- Bloomfield, CT
- NPI 1760355861
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ithaca, NY
- NPI 1962422733
-
- Critical Access Hospital
- Montour Falls, NY
- NPI 1639150477
-
- General Acute Care Hospital
- Meriden, CT
- NPI 1427007848
-
- General Acute Care Hospital
- Meriden, CT
- NPI 1669524187
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1548225360
-
- General Acute Care Hospital
- New Britain, CT
- NPI 1053477075
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1467517235
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1639135718
-
- Psychiatric Hospital Unit
- Norwich, CT
- NPI 1730243536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433376000000",
"number": "1508067745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 DATES DR",
"address_2": "DEPARTMENT OF INTERVENTIONAL RADIOLOGY",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501342",
"telephone_number": "607-277-3790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 DATES DR",
"address_2": "DEPARTMENT OF INTERVENTIONAL RADIOLOGY",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501342",
"telephone_number": "607-277-3790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLITI",
"first_name": "ROMAN",
"middle_name": "GABRIEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-29",
"last_updated": "2015-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "250590",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MA",
"license": "250590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.