Individual provider Active NPI

Pradeep Albert, M.D.

  • Diagnostic Radiology Physician
  • Bay Shore, NY
National Provider Identifier
1659308245
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
222985 Issued in NY
Practice address
375 E Main St
Suite 12
Bay Shore, NY 11706-8418
Phone
(631) 665-2261
Fax
(631) 665-5535
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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 222985 NY Primary

Addresses

Primary practice location

375 E Main St
Suite 12
Bay Shore, NY 11706-8418

Mailing address

375 E Main St
Suite 12
Bay Shore, NY 11706-8418
Phone (631) 665-2261

Other identifiers 1

IdentifierTypeStateIssuer
2548878MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.08 of 100Reported as group
Quality
62.84
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology CurrentSince Dec 1, 2018 Accepting new patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Feb 1, 2023 Accepting new patients
Stony Brook Radiologic Services PC Diagnostic Radiology Past Accepting new patients
Park West Radiology, PC Diagnostic Radiology PastSince Jul 1, 2008 Accepting new patients

Locations

27443 Network Pl
Chicago, IL 60673

375 E Main St
Ste 12
Bay Shore, NY 11706
Phone (631) 665-2261

55 Veterans Memorial Hwy
Commack, NY 11725
Phone (631) 462-0525

15806 Northern Blvd
Flushing, NY 11358
Phone (718) 353-3688

8940 56th Ave
Flushing, NY 11373
Phone (718) 335-5532

214 Wall St
Huntington, NY 11743
Phone (631) 385-8855

570 Smith Haven Mall
Lake Grove, NY 11755
Phone (631) 338-8131

315 W 57th St
Ste LL4
New York, NY 10019
Phone (212) 698-5300

61 E 77th St
New York, NY 10075
Phone (212) 772-2130

147 W 15th St
New York, NY 10011
Phone (212) 473-5323

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1659308245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 E MAIN ST",
            "address_2": "SUITE 12",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068418",
            "telephone_number": "631-665-2261",
            "fax_number": "631-665-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 E MAIN ST",
            "address_2": "SUITE 12",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068418",
            "telephone_number": "631-665-2261",
            "fax_number": "631-665-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERT",
        "first_name": "PRADEEP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "222985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2548878",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.