Pratik Mansukh Mavani

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

293152 Issued in NY

Practice address

5008 Brittonfield Pkwy
East Syracuse, NY 13057-9248

Phone

(315) 234-4680

NPI assigned

Apr 23, 2012

Last updated

Aug 5, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 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

Specialty

Diagnostic Radiology

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crouse Radiology Associates LLPGroup PAC ID 1850387648, 105 clinicians

Medical Imaging Center LLPGroup PAC ID 7911991831, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Crouse Hospital Hospital, Syracuse, NY, CCN 330203
• Oswego Hospital Hospital, Oswego, NY, CCN 330218
• University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241

Merit-based Incentive Payment System (MIPS)

Final score

86.67 of 100Reported as group

Quality

82.96

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

79.02 of 100Reported as group

Quality

75.32

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

75.64 of 100Reported as group

Quality

55.71

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

86.23 of 100Reported as group

Quality

83.8

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crouse Radiology Associates LLP

  • Diagnostic Radiology Physician
  • Syracuse, NY
  • NPI 1447244587

  NJ

  Medicare reassignment Care Compare group NPD
• Medical Imaging Center LLP

  • Radiology Clinic/Center
  • East Syracuse, NY
  • NPI 1538153671

  NJ

  Medicare reassignment Care Compare group NPD
• Imaging Consultants of Essex, P.a.

  • Diagnostic Radiology Physician
  • Livingston, NJ
  • NPI 1538196027
  Medicare reassignment NPD
• The New Jersey Imaging Network, LLC

  dba DRA of Morristown at Cedar Knolls

  • Radiology Clinic/Center
  • Cedar Knolls, NJ
  • NPI 1629327887
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Crouse Health Hospital, Inc.

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1033107743
  Care Compare affiliation
• Oswego Hospital

  • General Acute Care Hospital
  • Oswego, NY
  • NPI 1871678458
  Care Compare affiliation
• Suny Health Science Center at Syracuse

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1578554630
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1588922926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5008 BRITTONFIELD PKWY",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5008 BRITTONFIELD PKWY",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579248",
            "telephone_number": "315-234-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAVANI",
        "first_name": "PRATIK",
        "middle_name": "MANSUKH",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-23",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "293152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas D Masten, MD
• Ashley Masterpol
• Jennifer L Mastropietro, NP
• Subinse Mathew
• Lorri Jean Mathewson, RMT, LMT
• Cierra Rochelle McAlpine, LPN
• Susan McAndrew, RPH
• Kathryn McBride, PT, DPT
• April Joy McCaslin, LPN
• Lavet Lorenz McClurg, LMSW

• Diagnostic Radiology Physician in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.

Verify at the official NPI Registry.