Individual provider Active NPI

Kamran Munawar

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1720466873
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA11042400 Issued in NJ
Practice address
550 1St Ave
New York, NY 10016-6402
Phone
(212) 263-5506
NPI assigned
May 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 25MA11042400 NJ Primary

Addresses

Primary practice location

550 1St Ave
New York, NY 10016-6402

Mailing address

550 1St Ave
New York, NY 10016-6402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CT, IA, IL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20210512000049 NJ Practitioner - Diagnostic Radiology 4880947779 Reassigns benefits to 1 organization
I20220427000327 CT Practitioner - Diagnostic Radiology 4880947779 Reassigns benefits to 2 organizations
I20240808002348 IA Practitioner - Diagnostic Radiology 4880947779 Reassigns benefits to 2 organizations
I20241008002889 IL Practitioner - Diagnostic Radiology 4880947779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Group PC SCGroup PAC ID 9032008537, 39 clinicians

Practice addresses (Care Compare)

1227 E Rusholme St
Davenport, IA 52803-2459
Phone (563) 421-9729

1401 W Central Park Ave
Davenport, IA 52804-1707
Phone (563) 421-9729

1410 N 4TH St
Clinton, IA 52732-2940
Phone (563) 244-5615

1970 E 53Rd St
Davenport, IA 52807-2710

3385 Dexter CT
Suite 300
Davenport, IA 52807-3471
Phone (563) 421-9729

4620 Willowwood CT
Davenport, IA 52807-3445
Phone (563) 344-5490

801 Illini Dr
Silvis, IL 61282-1804
Phone (309) 281-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
58.72
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
50.32 of 100Reported as group
Quality
38.88
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.11 of 100Reported as group
Quality
90.72
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Group PC SC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Montclair Radiological Assoc ,PA Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
Northwest Iowa Hospital Corporation CurrentSince Aug 1, 2025 Accepting new patients
Radiologic Associates of Middletown PC Diagnostic Radiology CurrentSince Apr 20, 2022 Accepting new patients
Guilford Radiology LLC Diagnostic Radiology CurrentSince Apr 20, 2022 Accepting new patients

Locations

1591 Boston Post Rd
Ste 106
Guilford, CT 06437

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

2635 Lincoln Way
Ste D
Clinton, IA 52732
Phone (563) 243-4170

1970 E 53rd St
Davenport, IA 52807
Phone (563) 359-3949

3385 Dexter Ct
Ste 300
Davenport, IA 52807
Phone (563) 344-9292

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

777 Passaic Ave
Ste 360
Clifton, NJ 07012

20 High St
Nutley, NJ 07110
Phone (973) 281-1881

Interoperability endpoints

  • Direct secure messaging: kmunawar3934953@direct.trinity-health.org

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1431129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1720466873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-263-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNAWAR",
        "first_name": "KAMRAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-09",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA11042400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.