Nicole Marie Radmilovic, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

022531 Issued in NY

Practice address

2134 Penfield Rd
Penfield, NY 14526-1736

Phone

(585) 276-8280

NPI assigned

Aug 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of RochesterGroup PAC ID 5799699088, 960 clinicians

University of Rochester Urgent CareGroup PAC ID 2567772676, 63 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• University of Rochester

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1710226824
  Medicare reassignment Care Compare group
• University of Rochester Urgent Care

  • Urgent Care Clinic/Center
  • Rochester, NY
  • NPI 1700260395
  Medicare reassignment Care Compare group
• Icahn School of Medicine at Mount Sinai

  dba Rehabilitation Fluoroscopy Medicine Department of Mount Sinai

  • Rehabilitation Practitioner
  • New York, NY
  • NPI 1477899078
  Medicare reassignment NPD
• Fpa Hospital Based

  • Nuclear Medicine Physician
  • New York, NY
  • NPI 1629319413
  Medicare reassignment
• Icahn School of Medicine at Mount Sinai

  dba FPA Urgent Care Center

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1124392238
  Medicare reassignment
• Fpa Hospital Based

  dba Mount Sinai Dermatopathology Services III

  • Dermatopathology (Pathology) Physician
  • New York, NY
  • NPI 1841531795
  NPD
• Icahn School of Medicine at Mount Sinai

  dba New York Eye & Ear Optical Shop

  • Eyewear Supplier
  • New York, NY
  • NPI 1760227466
  NPD
• University of Rochester

  dba Strong Memorial Hospital-University of Rochester

  • Community/Retail Pharmacy
  • Rochester, NY
  • NPI 1598476269
  NPD
• University of Rochester

  dba Eastman Dental Center

  • General Practice Dentistry
  • Rochester, NY
  • NPI 1982787537
  NPD

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

• University of Rochester

  dba Strong Memorial Hospital

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1346285657
  Care Compare affiliation
• University of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1669126090
  Care Compare affiliation

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1770062010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 655",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2134 PENFIELD RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261736",
            "telephone_number": "585-276-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADMILOVIC",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "022531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Mobile Ultrasound Inc
• Katie Progno, SLP
• John Michael Purificato, PA-C
• Paul J Quatro, RPH
• Muhammad Siddique Tariq Qureshi, M.D.
• Steven Robert Ragan, D.D.S.
• Monica Ranaletta, D.O.
• Irina Rapaport, LPN
• Katie Rauber, NP
• Ashleigh L Rausch, RPA-C

• Physician Assistant in Penfield, NY
• Providers in Penfield, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.