Active NPI
Peter Alan Dvorak, M.D.
- Diagnostic Radiology Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2025-01467
- 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
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 | 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, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Novant Health Forsyth Medical Center
- Northern Regional Hospital
- Novant Health Thomasville Medical Center
- Ashe Memorial Hospital
- Novant Health Medical Park Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 294990 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Enterprises Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Novant Health Enterprises Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Novant Health Enterprises Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Novant Health Enterprises Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Novant Health Enterprises Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Novant Health Enterprises Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of Ithaca PC | Diagnostic Radiology | Current | Accepting new patients |
| Novant Health Enterprises Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Novant Health Enterprises Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Novant Health Enterprises Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cayuga Medical Associates, PC | Current | Accepting new patients | |
| Novant Health Enterprises Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Novant Health Enterprises Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Novant Health Enterprises Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Triad Breast Imaging Center, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Novant Health Enterprises Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Novant Health Enterprises Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Triad Radiology Associates PLLC | Diagnostic Radiology | Current | 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
- 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.
-
- Diagnostic Radiology Physician
- Winston Salem, NC
- NPI 1659485001
-
- Internal Medicine Physician
- Ithaca, NY
- NPI 1679525455
-
- Diagnostic Radiology Physician
- Ithaca, NY
- NPI 1467566190
-
- Diagnostic Radiology Physician
- Charlotte, NC
- NPI 1043005689
-
- Diagnostic Radiology Physician
- Laurinburg, NC
- NPI 1144015777
-
- Diagnostic Radiology Physician
- Charlotte, NC
- NPI 1235924846
-
- Diagnostic Radiology Physician
- Huntersville, NC
- NPI 1386439909
-
- Diagnostic Radiology Physician
- Concord, NC
- NPI 1447045067
-
- Diagnostic Radiology Physician
- Clemmons, NC
- NPI 1457146060
-
- Diagnostic Radiology Physician
- Belmont, NC
- NPI 1578358180
-
- Diagnostic Radiology Physician
- Shelby, NC
- NPI 1629863261
-
- Diagnostic Radiology Physician
- Mooresville, NC
- NPI 1649065285
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Jefferson, NC
- NPI 1376671370
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
-
- General Acute Care Hospital
- Winston-Salem, NC
- NPI 1538111828
-
- General Acute Care Hospital
- Mount Airy, NC
- NPI 1366449282
-
- General Acute Care Hospital
- Thomasville, NC
- NPI 1801848767
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.