Individual provider Active NPI

Robert J Rapoport, M.D.

  • Diagnostic Radiology Physician
  • Albany, NY
National Provider Identifier
1669464780
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
206239 Issued in NY
Practice address
315 S Manning Blvd
Medical Imaging Department
Albany, NY 12208-1707
Phone
(518) 525-1852
Fax
(518) 525-1559
NPI assigned
Aug 16, 2005
Last updated
Jun 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 206239 NY Primary
Neuroradiology Physician 2085N0700X 206239 NY

Addresses

Primary practice location

315 S Manning Blvd
Medical Imaging Department
Albany, NY 12208-1707

Mailing address

PO Box 14890
Albany, NY 12212-4890
Phone (518) 525-1550

Other identifiers 2

IdentifierTypeStateIssuer
01766792MedicaidNY
1017467MedicaidVT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

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
I20040129000098 NY Practitioner - Diagnostic Radiology 9931002862 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albany Medical College of Union University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellis HospitalGroup PAC ID 5890607410, 250 clinicians

Practice addresses (Care Compare)

1 Tallow Wood Dr
Clifton Park, NY 12065-2807
Phone (518) 373-4448

1101 Nott St
Schenecctady, NY 12308-2425
Phone (518) 243-4000

1270 Belmont Ave
Schenectady, NY 12308-2104
Phone (518) 382-4558

2 Empire Dr
Rensselaer, NY 12144-5730
Phone (518) 286-4999

2 New Hampshire Ave
Troy, NY 12180-1764
Phone (518) 525-8220

2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3300

279 Troy Rd
Rensselaer, NY 12144-9518
Phone (518) 880-6300

3 Atrium Dr
Albany, NY 12205-1417
Phone (518) 438-0600

315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 525-1852

319 S Manning Blvd
Albany, NY 12208-1743

5 Palisades Dr
Albany, NY 12205-6433

600 Northern Blvd
Albany, NY 12204-1004
Phone (518) 471-3283

648 Plank Rd
Clifton Park, NY 12065-2064
Phone (518) 688-1177

713 Troy Schenectady Rd
Latham, NY 12110-2490

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206239NYMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Imaging Associates Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients
Northeast Medical Imaging PC Diagnostic Radiology CurrentSince Nov 1, 2004 Accepting new patients
Ellis Hospital CurrentSince Sep 29, 2023 Accepting new patients
Albany Advanced Imaging PLLC Diagnostic Radiology CurrentSince Jul 1, 1999 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. Neuroradiology CurrentSince Jan 1, 2013 Accepting new patients
Albany Advanced Imaging PLLC Diagnostic Radiology Current Accepting new patients
Capital Radiology Associates LLP Diagnostic Radiology Past Accepting new patients
Albany Advanced Imaging PLLC Diagnostic Radiology PastSince Jan 5, 2005 Accepting new patients
Northwest Radiology Network P C Diagnostic Radiology Past Accepting new patients
Paul E Lemanski MD PLLC Past Accepting new patients
Albany Radiology Associate PC Diagnostic Radiology Past Accepting new patients

Locations

199 Wolf Rd
Albany, NY 12205
Phone (518) 435-1234

2 Palisades Dr
Ste 200
Albany, NY 12205

3 Atrium Dr
Albany, NY 12205
Phone (518) 435-1234

3 Atrium Dr
Ste 160
Albany, NY 12205
Phone (518) 438-0600

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331

3 Emma Ln
Clifton Park, NY 12065
Phone (518) 278-4334

648 Plank Rd
Clifton Park, NY 12065
Phone (518) 268-4800

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

600 McClellan St
Schenectady, NY 12304
Phone (518) 382-2000

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

1301 River St
Ste 204
Valatie, NY 12184
Phone (518) 392-8600

Organizations & group practices 11

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 9

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1669464780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-525-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S MANNING BLVD",
            "address_2": "MEDICAL IMAGING DEPARTMENT",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081707",
            "telephone_number": "518-525-1852",
            "fax_number": "518-525-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPOPORT",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "206239",
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NY",
            "license": "206239",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01766792",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017467",
            "state": "VT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "315 S Manning Blvd",
            "address_2": "Medical Imaging Department",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122081707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.