Individual provider Active NPI

Andrey Sinelnikov, MD

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1538455308
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
265276 Issued in MA
Practice address
200 Lothrop St.
3950 S Presby Tower
Philadelphia, PA 15213
Phone
(412) 647-3510
NPI assigned
Jun 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 265276 MA Primary

Addresses

Primary practice location

200 Lothrop St.
3950 S Presby Tower
Philadelphia, PA 15213

Mailing address

200 Lothrop St.
3950 S Presby Tower
Philadelphia, PA 15213
Phone (412) 647-3510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 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
I20160628000142 MA Practitioner - Diagnostic Radiology 0840581591 Reassigns benefits to 2 organizations
I20170614000675 CT Practitioner - Diagnostic Radiology 0840581591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology and Imaging IncGroup PAC ID 9234110479, 58 clinicians

Practice addresses (Care Compare)

113 Elm St
Suite 206
Enfield, CT 06082-3738
Phone (860) 741-2177

759 Chestnut St
Springfield, MA 01107-1619
Phone (413) 827-7400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
265276MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin MRI Center LLC CurrentSince Jul 3, 2017 Accepting new patients
Franklin MRI Center LLC CurrentSince May 24, 2022 Accepting new patients
Baystate MRI & Imaging Center, LLC CurrentSince Jul 3, 2017 Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Jul 1, 2016 Accepting new patients
Radiology & Imaging, Inc. Diagnostic Radiology CurrentSince Jul 3, 2017 Accepting new patients

Locations

113 Elm St
Ste 206
Enfield, CT 06082
Phone (860) 741-2177

75 Francis St
Boston, MA 02115

20 Patriot Pl
Foxborough, MA 02035
Phone (508) 718-4000

759 Chestnut St
Springfield, MA 01107
Phone (413) 794-6297

1350 Main St
Ste 1007
Springfield, MA 01103
Phone (413) 495-1129

Organizations & group practices 5

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 7

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": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1538455308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST.",
            "address_2": "3950 S PRESBY TOWER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "15213",
            "telephone_number": "412-647-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST.",
            "address_2": "3950 S PRESBY TOWER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "15213",
            "telephone_number": "412-647-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINELNIKOV",
        "first_name": "ANDREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "265276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.