Individual provider Active NPI

Peter Alan Dvorak, M.D.

  • Diagnostic Radiology Physician
  • Rochester, NY
National Provider Identifier
1518209675
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2025-01467 Issued in NC
Practice address
36 Edgemont Rd
Rochester, NY 14620-4520
Phone
(716) 261-8106
NPI assigned
Mar 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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 2025-01467 NC Primary
Diagnostic Radiology Physician 2085R0202X 294990 NY

Addresses

Primary practice location

36 Edgemont Rd
Rochester, NY 14620-4520

Mailing address

601 Elmwood Ave
Rochester, NY 14642-0001

Other practice location 1

3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-3202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190125002524 NY Practitioner - Diagnostic Radiology 7214177385 Reassigns benefits to 2 organizations
I20250625001162 NC Practitioner - Diagnostic Radiology 7214177385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Radiology Associates PLLCGroup PAC ID 8729086194, 75 clinicians

Practice addresses (Care Compare)

100 Robinhood Medical PLZ
Winston Salem, NC 27106-5472
Phone (336) 718-0858

105 Vest Mill Cir
Winston Salem, NC 27103-2943
Phone (336) 718-7800

1225 Lewisville Clemmons Rd
Lewisville, NC 27023-8251
Phone (336) 712-0700

140 Kimel Park Dr
Winston Salem, NC 27103-6160
Phone (336) 245-2100

144 Forest Hill Rd
Lexington, NC 27295-2008
Phone (336) 970-5300

152 E Kinderton Way
Suite 101
Bermuda Run, NC 27006-7351
Phone (336) 893-3190

1570 NC 8 and 89 Hwy N
Danbury, NC 27016-7360
Phone (336) 593-5306

15825 Ballantyne Medical PL
Suite 100
Charlotte, NC 28277-0745
Phone (336) 970-5300

167 Moore Rd
King, NC 27021-8770
Phone (336) 985-2110

170 Kimel Park Dr
Winston Salem, NC 27103-6946
Phone (336) 768-1270

1730 Kernersville Medical Pkwy
Kernersville, NC 27284-7198

185 Kimel Park Dr
Winston Salem, NC 27103-6973
Phone (336) 760-1880

1950 S Hawthorne Rd
Winston Salem, NC 27103-3912
Phone (336) 718-0785

200 Robinhood Medical PLZ
BLDG 2
Winston Salem, NC 27106-5471
Phone (336) 718-7950

2010 Baldwin LN
Winston Salem, NC 27103-5846
Phone (336) 277-1717

2025 Frontis Plaza Blvd
Suite 300
Winston Salem, NC 27103-5663
Phone (336) 397-6035

207 Old Lexington Rd
Thomasville, NC 27360-3428
Phone (336) 472-2000

211 Old Lexington Rd
Thomasville, NC 27360-3428
Phone (336) 474-8199

216 Moore Rd
King, NC 27021-8703
Phone (336) 983-4346

280 N Pointe Blvd
Mount Airy, NC 27030-2267
Phone (336) 783-8431

3001 Lyndhurst Ave
Winston Salem, NC 27103-4007
Phone (336) 765-0383

305 E Lee Ave
Yadkinville, NC 27055-8132
Phone (336) 679-2661

3155 Maplewood Ave
Winston Salem, NC 27103-3903
Phone (336) 397-6100

3311 Jessie Village Dr
Clemmons, NC 27012-9963
Phone (704) 323-2426

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-3261

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
294990NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 17, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 19, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 16, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 11, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 29, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 26, 2025 Accepting new patients
Radiology Associates of Ithaca PC Diagnostic Radiology CurrentSince Dec 15, 2018 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 19, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 17, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 29, 2025 Accepting new patients
Cayuga Medical Associates, PC CurrentSince Mar 22, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 22, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 23, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 22, 2025 Accepting new patients
Triad Breast Imaging Center, LLC Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 29, 2025 Accepting new patients
Novant Health Enterprises Imaging, LLC Diagnostic Radiology CurrentSince Dec 26, 2025 Accepting new patients
Triad Radiology Associates PLLC Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Vanderbilt University Past Accepting new patients

Locations

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

3010 Trenwest Dr
Winston Salem, NC 27103
Phone (336) 718-5844

3015 Maplewood Ave
Ste 200
Winston Salem, NC 27103
Phone (336) 794-4188

101 Harris B Dates Dr
Ithaca, NY 14850
Phone (607) 274-4011

310 Taughannock Blvd
Fl 4
Ithaca, NY 14850
Phone (607) 269-0100

Interoperability endpoints

  • Direct secure messaging: pdvorak1665096@direct.novanthealth.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 5

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": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1518209675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 EDGEMONT RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204520",
            "telephone_number": "716-261-8106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 Olentangy River Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432143908",
            "country_code": "US",
            "telephone_number": "614-566-3202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DVORAK",
        "first_name": "PETER",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-26",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2025-01467",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "294990",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.