Individual provider Active NPI

Matthew David Cannavo, MD

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1750949046
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
328867 Issued in NY
Practice address
1275 York Ave
New York, NY 10065-6007
Phone
(347) 798-9892
NPI assigned
May 31, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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 328867 NY Primary

Addresses

Primary practice location

1275 York Ave
New York, NY 10065-6007

Mailing address

1275 York Ave
New York, NY 10065-6007
Phone (347) 798-9892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, IL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20241114001143 NY Practitioner - Diagnostic Radiology 4587091269 Reassigns benefits to 3 organizations
I20260220001429 PA Practitioner - Diagnostic Radiology 4587091269 Reassigns benefits to 1 organization
I20260223001800 IL Practitioner - Diagnostic Radiology 4587091269 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Florida International Univ, College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Scanning Consultants PAGroup PAC ID 9032005376, 82 clinicians
Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians
Lancaster Radiology Associates LTDGroup PAC ID 0648267526, 53 clinicians

Practice addresses (Care Compare)

Evanston, IL 60201
Phone (952) 738-4441

160 E Main St
Port Jervis, NY 12771-2114
Phone (718) 223-4685

2900 NE 7TH Ave
Unit 2004
Miami, FL 33137-4443
Phone (952) 738-4441

555 N Duke St
Lancaster, PA 17602-2250
Phone (717) 544-4900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.9 of 100Reported as group
Quality
81.6
Improvement activities
40
Cost
10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
328867NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology CurrentSince Oct 19, 2024 Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology CurrentSince Apr 1, 2026 Accepting new patients
Lancaster Radiology Associates, LTD. Diagnostic Radiology CurrentSince Mar 30, 2026 Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology CurrentSince Apr 1, 2026 Accepting new patients
Mskcc Radiology Group Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Nov 24, 2024 Accepting new patients
Radiological Consultants, Inc. Diagnostic Radiology PastSince Sep 26, 2016 Accepting new patients
Millennium Medical Imaging PC Diagnostic Radiology PastSince Sep 1, 2025 Accepting new patients
Imaging Group of Delaware, PA Diagnostic Radiology Past Accepting new patients

Locations (25 of 46)

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

8881 State Route 97
Callicoon, NY 12723
Phone (845) 333-6800

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

102 Clowes Ave
Goshen, NY 10924
Phone (845) 333-7200

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

38 Concord Rd
Monticello, NY 12701
Phone (845) 333-6500

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

1000 N Village Ave
#13202
Rockville Ctr, NY 11570

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

992 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-2910

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

15 Maple Ave
Warwick, NY 10990
Phone (845) 986-2224

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

306 N 7th St
Columbia, PA 17512
Phone (717) 684-1500

424 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 291-1016

432 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 314-2618

895 E Main St
Ephrata, PA 17522
Phone (717) 721-4585

Networks

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

Organizations & group practices 9

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 4

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": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1750949046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656007",
            "telephone_number": "347-798-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656007",
            "telephone_number": "347-798-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNAVO",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-31",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "328867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.