Manila Bagherzadeh-Azar, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD436864 Issued in PA

Practice address

3400 Spruce St
Radiology Administration, 1 Silverstein Ste 130
Philadelphia, PA 19104-4206

Phone

(610) 688-3643

NPI assigned

Sep 27, 2006

Last updated

Oct 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA, 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, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jersey Shore Imaging LLCGroup PAC ID 1355408212, 148 clinicians

University Radiology at Cooper LLCGroup PAC ID 4587053699, 78 clinicians

University Radiology Group LLCGroup PAC ID 6608868500, 239 clinicians

University Radiology-Atlantic, LLCGroup PAC ID 6901059864, 144 clinicians

University Radiology at Trinitas LLCGroup PAC ID 9133174634, 126 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cooper University Hospital Hospital, Camden, NJ, CCN 310014
• Robert Wood Johnson University Hospital - Somerset Hospital, Somerville, NJ, CCN 310048

Merit-based Incentive Payment System (MIPS)

Final score

84.91 of 100Reported as group

Quality

73.58

Promoting interoperability

100

Improvement activities

40

Cost

76.13

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Jersey Shore Imaging, LLC

  • Diagnostic Radiology Physician
  • Neptune, NJ
  • NPI 1538304019

  PA

  Medicare reassignment Care Compare group NPD
• University Radiology at Cooper, LLC

  • Diagnostic Radiology Physician
  • Cherry Hill, NJ
  • NPI 1669056248

  PA

  Medicare reassignment Care Compare group NPD
• University Radiology at Trinitas, LLC

  • Radiology Clinic/Center
  • Elizabeth, NJ
  • NPI 1366526279

  Diagnostic Radiology, PA

  Medicare reassignment Care Compare group NPD
• University Radiology Group, LLC

  • Diagnostic Radiology Physician
  • East Brunswick, NJ
  • NPI 1154367803

  Body Imaging, PA

  Medicare reassignment Care Compare group NPD
• University Radiology-Atlantic, LLC

  • Diagnostic Radiology Physician
  • Tinton Falls, NJ
  • NPI 1477802064

  PA

  Medicare reassignment Care Compare group NPD
• University of Penn-Medical Group

  • Gynecologic Oncology Physician
  • Philadelphia, PA
  • NPI 1235527342
  Medicare reassignment NPD
• Flemington Radiology Associates, LLC

  • Diagnostic Radiology Physician
  • Flemington, NJ
  • NPI 1942816475

  Body Imaging, PA

  Medicare reassignment NPD
• University of Penn-Medical Group

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Philadelphia, PA
  • NPI 1518355635
  NPD
• University of Penn-Medical Group

  • Surgical Oncology Physician
  • Philadelphia, PA
  • NPI 1871981985
  NPD
• Hillsborough Radiology Centers, LLC

  • Diagnostic Radiology Physician
  • Hillsborough, NJ
  • NPI 1912357674

  Body Imaging

  NPD
• Hunterdon Medical Center

  dba Hunterdon Healthcare Advanced Imaging at Clinton

  • Physiological Laboratory
  • Clinton, NJ
  • NPI 1285378919

  Diagnostic Radiology

  NPD
• Mercy Diagnostic Imaging PC

  dba Mid Atlantic Radiology Consultants, LLC

  • Diagnostic Radiology Physician
  • Darby, PA
  • NPI 1477509768
  NPD (past)

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

• Robert Wood Johnson University Hospital Inc

  dba Robert Wood Johnson University Hospital Somerset

  • General Acute Care Hospital
  • Somerville, NJ
  • NPI 1003236878
  Care Compare affiliation
• The Cooper Health System

  dba Cooper University Hospital

  • Land Ambulance
  • Camden, NJ
  • NPI 1174976724

  Hospital

  Care Compare affiliation
• The Cooper Health System

  • General Acute Care Hospital
  • Camden, NJ
  • NPI 1568442309
  Care Compare affiliation

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1679664544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "RADIOLOGY ADMINISTRATION, 1 SILVERSTEIN STE 130",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "610-688-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "RADIOLOGY ADMINISTRATION, 1 SILVERSTEIN STE 130",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "610-688-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGHERZADEH-AZAR",
        "first_name": "MANILA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD436864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156606001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00210259",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nina Bagdasarova, CRNA
• Adam Bagg, MD
• Megan Sem Bagga, MA, LPC
• Nidhi Bagga, PHARMD
• Barzin Bagheri Behzad, MD
• Sanam Baghshomali
• Julianne Marie Bagley, CRNA
• Linda J Bagley, MD
• Stephen Joseph Bagley, MD
• Kristin Baglieri, LCSW

• Diagnostic Radiology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.