Individual provider Active NPI

Roman Gabriel Politi, MD

  • Vascular & Interventional Radiology Physician
  • Ithaca, NY
National Provider Identifier
1508067745
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
250590 Issued in MA
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

Updated by the provider on Jun 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, CT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20130916000488 PA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 9133375488 Reassigns benefits to 2 organizations
I20141014001251 NY Practitioner - Interventional Radiology 9133375488 Reassigns benefits to 5 organizations
I20250811000872 CT Practitioner - Diagnostic Radiology 9133375488 Reassigns benefits to 4 organizations

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
Cayuga Medical Associates PCGroup PAC ID 6709897960, 278 clinicians
Starling Physicians, PLLCGroup PAC ID 7517863749, 276 clinicians
Midstate Radiology Associates LLCGroup PAC ID 4880593565, 89 clinicians
Meriden Imaging Center IncGroup PAC ID 4385683556, 56 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as apm
Quality
78.34
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
82.87
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber 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

LicenseStateTypeSpecialty
250590MAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Imaging Services of CT, LLC Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Starling Physicians, PLLC CurrentSince Sep 26, 2025 Accepting new patients
Meriden Imaging Center, Inc. Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Cayuga Medical Associates, PC CurrentSince Jan 1, 2016 Accepting new patients
Radiology Associates of Wyoming Valley, Inc Diagnostic Radiology CurrentSince Mar 13, 2023 Accepting new patients
Scranton Hospitalist Physician Services LLC Diagnostic Radiology CurrentSince May 28, 2025 Accepting new patients
Midstate Radiology Associates, LLC Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Radiology Associates of Ithaca PC Diagnostic Radiology CurrentSince Nov 1, 2014 Accepting new patients
Starling Physicians PLLC CurrentSince Sep 26, 2025 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

  • Direct secure messaging: rpoliti21112@direct.xtensys.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 9

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": "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

Verify at the official NPI Registry.