NPIMap

Individual provider Active NPI

Leo Hughes Menashe, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1700149226
Registry record updated Apr 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
282488 Issued in NY
Practice address
1 Gustave L Levy PL
Department of Radiology
New York, NY 10029-6504
Phone
(510) 610-1809
NPI assigned
Jun 19, 2012
Last updated
Apr 22, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2017

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 282488 NY Primary

Addresses

Primary practice location

1 Gustave L Levy PL
Department of Radiology
New York, NY 10029-6504

Mailing address

1245 Park Ave
Apt 8K
New York, NY 10128-1735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170822000212 NY Practitioner - Diagnostic Radiology 5193097475 Reassigns benefits to 4 organizations
I20260403001517 CA Practitioner - Diagnostic Radiology 5193097475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brooklyn Hospital Radiology P CGroup PAC ID 5991694473, 18 clinicians

Practice addresses (Care Compare)

121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 250-8240

60 Tamalpais Rd
Berkeley, CA 94708-1949
Phone (718) 250-8240

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
282488NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2022 Accepting new patients
Montefiore Medical Center Diagnostic Radiology CurrentSince Jun 23, 2017 Accepting new patients
Montefiore Medical Center CurrentSince Jun 23, 2017 Accepting new patients
Optum Urgent Care, PLLC CurrentSince Aug 15, 2018 Accepting new patients
Brooklyn Hospital Radiology P C Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Optum Medical Care, P.C. Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131

Philadelphia, PA 19195

Networks

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

Organizations & group practices 6

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 6

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": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492819200000",
    "number": "1700149226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 PARK AVE",
            "address_2": "APT 8K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296504",
            "telephone_number": "510-610-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENASHE",
        "first_name": "LEO",
        "middle_name": "HUGHES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2017-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "282488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.