Individual provider Active NPI

Michael Winn, M.D.

  • Diagnostic Radiology Physician
  • Oceanside, NY
National Provider Identifier
1700876281
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
178947 Issued in NY
Practice address
1 Healthy Way
Attn: Radiology
Oceanside, NY 11572-1551
Phone
(516) 632-4656
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 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 178947 NY Primary

Addresses

Primary practice location

1 Healthy Way
Attn: Radiology
Oceanside, NY 11572-1551

Mailing address

PO Box 5768
Hicksville, NY 11802-5768
Phone (516) 632-4656

Other identifiers 1

IdentifierTypeStateIssuer
01573308MedicaidNY

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
I20050407000110 NY Practitioner - Diagnostic Radiology 4587611918 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Icahn School of Medicine at Mount Sinai, 1988
Medicare assignment
May accept Medicare assignment
Group practices
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians
Optum Urgent Care PLLCGroup PAC ID 8628299518, 68 clinicians
Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians

Practice addresses (Care Compare)

15636 A Crossbay Blvd
Howard Beach, NY 11414-2745
Phone (718) 738-0700

2322 30TH Ave
Astoria, NY 11102-3255
Phone (718) 267-2763

555 N Broadway
Jericho, NY 11753-2134
Phone (516) 597-5070

61 E 77TH St
New York, NY 10075-1817
Phone (212) 772-3111

90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
72.13
Promoting interoperability
91
Improvement activities
40
Cost
75.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
178947NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Aug 13, 2023 Accepting new patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2024 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology CurrentSince May 1, 2016 Accepting new patients
Optum Urgent Care, PLLC CurrentSince Mar 1, 2025 Accepting new patients
Optum Medical Care, P.C. Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Specialty Portable X-Ray Inc Past Accepting new patients
SN Radiological Practice PC Diagnostic Radiology Past Accepting new patients
South Nassau Radiology PC Diagnostic Radiology Past Accepting new patients
The Parkway Hospital Past Accepting new patients
Specialty Portable X-Ray, Inc Past Accepting new patients

Locations

27443 Network Pl
Chicago, IL 60673

2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763

410 E 189th St
Bronx, NY 10458
Phone (718) 220-2500

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

3717 76th St
Jackson Hts, NY 11372
Phone (718) 424-1400

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

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

18 Squadron Blvd
New City, NY 10956
Phone (845) 368-3002

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

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

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

111 N Highland Ave
Nyack, NY 10960
Phone (845) 639-6178

Philadelphia, PA 19195

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1700876281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5768",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118025768",
            "telephone_number": "516-632-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HEALTHY WAY",
            "address_2": "ATTN: RADIOLOGY",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721551",
            "telephone_number": "516-632-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINN",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "178947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01573308",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

Verify at the official NPI Registry.