Individual provider Active NPI

Robert Lautin, MD

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1780606111
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
109185 Issued in NY
Practice address
155 Canal St
New York, NY 10013-4551
Phone
(212) 431-9010
Fax
(212) 431-9010
NPI assigned
Jul 24, 2006
Last updated
Sep 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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 109185 NY Primary

Addresses

Primary practice location

155 Canal St
New York, NY 10013-4551

Mailing address

155 Canal St
New York, NY 10013-4551
Phone (212) 431-9010

Other identifiers 1

IdentifierTypeStateIssuer
00409081MedicaidNY

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
I20040401000564 NY Practitioner - Diagnostic Radiology 4981696713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CP Advanced Imaging PLLCGroup PAC ID 4385663582, 10 clinicians

Practice addresses (Care Compare)

155 Canal St
New York, NY 10013-4551
Phone (212) 431-9010

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Park Radiology PC Diagnostic Radiology CurrentSince Feb 20, 2024 Accepting new patients
CP Advanced Imaging PLLC Diagnostic Radiology CurrentSince Nov 1, 2005 Accepting new patients
New York University Medical Center Faculty Practice Radiology Diagnostic Radiology Past Accepting new patients
New York Diagnostic Center Inc. Past Accepting new patients
Saint Vincents Hospital and Medical Center Diagnostic Radiology Past Accepting new patients
Brooklyn Radiology Services PC Diagnostic Radiology PastSince Jun 1, 2011 Accepting new patients
Maimonides Medical Center - MMC Radiology FPP Diagnostic Radiology Past Accepting new patients
New York Diagnostic Centers, Inc. Past Accepting new patients
Radiology Imaging Consultants PC Diagnostic Radiology PastSince Jan 4, 2000 Accepting new patients

Locations

5521 8th Ave
Fl 6
Brooklyn, NY 11220
Phone (718) 928-2588

155 Canal St
New York, NY 10013
Phone (212) 219-9135

155 Canal St
Fl 3
New York, NY 10013
Phone (914) 633-7700

33 Bowery
Ste B205
New York, NY 10002
Phone (212) 431-4200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1780606111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CANAL ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134551",
            "telephone_number": "212-431-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 CANAL ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134551",
            "telephone_number": "212-431-9010",
            "fax_number": "212-431-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUTIN",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "109185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00409081",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.