Individual provider Active NPI

Ross Ira Wank, M.D.

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1649457235
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
247595 Issued in NY
Practice address
132 S. 10TH Street
Department of Radiology 1087 Main BLDG.
Philadelphia, PA 19107-5244
Phone
(917) 301-1737
NPI assigned
Jan 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X MT191722 PA
Diagnostic Radiology Physician 2085R0202X 247595 NY Primary
Diagnostic Radiology Physician 2085R0202X 84439 CT
Diagnostic Radiology Physician 2085R0202X MT191722 PA

Addresses

Primary practice location

132 S. 10TH Street
Department of Radiology 1087 Main BLDG.
Philadelphia, PA 19107-5244

Mailing address

1411 Walnut St
Apartment 403
Philadelphia, PA 19102-3129
Phone (917) 301-1737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080710000587 NY Practitioner - Diagnostic Radiology 4284706045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Icahn School of Medicine at Mount Sinai, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

270 Park Ave
Suite 1
Huntington, NY 11743-2787
Phone (631) 351-2219

9525 Queens Blvd
Rego Park, NY 11374-4510
Phone (718) 360-5522

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT191722PAMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Nov 23, 2015 Accepting new patients
North Shore-Lij Medical PC CurrentSince Nov 23, 2015 Accepting new patients
Southside Faculty Medical Affiliates University Faculty Practice Corp Body Imaging CurrentSince Aug 1, 2021 Accepting new patients
Phelps Imaging Services,P.C Past Accepting new patients
North Shore Radiology at Glen Cove PC Body Imaging PastSince Sep 1, 2010 Accepting new patients

Locations

480 Bedford Rd
Chappaqua, NY 10514
Phone (866) 997-5781

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

611 Northern Blvd
Great Neck, NY 11021
Phone (516) 325-7000

935 Northern Blvd
Ste 200
Great Neck, NY 11021
Phone (516) 829-4414

270 Park Ave
Fl 1
Huntington, NY 11743
Phone (631) 351-2219

300 Community Dr
Manhasset, NY 11030

1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242

27005 76th Ave
North New Hyde Pk, NY 11040

9525 Queens Blvd
Frnt 2
Rego Park, NY 11374
Phone (718) 360-5522

1220 Hicksville Rd
Seaford, NY 11783

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: rwank68775@northwell.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1649457235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 WALNUT ST",
            "address_2": "APARTMENT 403",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023129",
            "telephone_number": "917-301-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 S. 10TH STREET",
            "address_2": "DEPARTMENT OF RADIOLOGY 1087 MAIN BLDG.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075244",
            "telephone_number": "917-301-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANK",
        "first_name": "ROSS",
        "middle_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-25",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "PA",
            "license": "MT191722",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "247595",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "84439",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MT191722",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.