Individual provider Active NPI

Keita Onoue, M.D.

  • Diagnostic Radiology Physician
  • Bronx, NY
National Provider Identifier
1790197663
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
308086 Issued in NY
Practice address
234 E 149TH St
Bronx, NY 10451-5504
Phone
(718) 579-5000
NPI assigned
May 27, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 308086 NY Primary
Diagnostic Radiology Physician 2085R0202X MD483356 PA

Addresses

Primary practice location

234 E 149TH St
Bronx, NY 10451-5504

Mailing address

1 Gustave L Levy PL # 1141
New York, NY 10029-6504
Phone (617) 777-4711

Other practice location 1

1700 Old Gatesburg Rd Ste 100
State College, PA 16803-2276
Phone (814) 278-3280

Other practice location 2

1800 E Park Ave
State College, PA 16803-6701
Phone (814) 231-7000 ext. 6764

Other practice location 3

1 Gustave L Levy Pl
New York, NY 10029-6504
Phone (212) 241-2436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210506002176 NY Practitioner - Diagnostic Radiology 6002103637 Reassigns benefits to 7 organizations
I20240815000825 PA Practitioner - Diagnostic Radiology 6002103637 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians
Monongahela Valley Hospital IncGroup PAC ID 0143117606, 41 clinicians
Radiology Associates of Main Street PCGroup PAC ID 5799677522, 52 clinicians
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-3261

1163 Country Club Rd
Monongahela, PA 15063-1013
Phone (724) 997-3470

1225 Warm Springs Ave
Huntingdon, PA 16652-2350
Phone (814) 643-8623

1751 2ND Ave
Apt 6E
New York, NY 10128-5376
Phone 81423170006764

187 Hospital Dr
Tyrone, PA 16686-1808
Phone (814) 684-1255

2 Robbins Dr
East Williston, NY 11596-2008
Phone (718) 428-1500

239 Colonnade Blvd
State College, PA 16803-2668
Phone (814) 375-3261

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356

401 E Murphy Ave
Connellsville, PA 15425-2724
Phone (724) 628-1500

60 E 88TH St
4B
New York, NY 10128-1170
Phone (614) 210-1885

763 Johnsonburg Rd
Saint Marys, PA 15857-3417
Phone (814) 788-8000

809 Turnpike Ave
Clearfield, PA 16830-1232
Phone (814) 765-5341

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
308086NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dubois Regional Medical Center CurrentSince Jun 14, 2024 Accepting new patients
Monongahela Valley Hospital Inc Current Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Dec 5, 2023 Accepting new patients
Radiology Associates of Main Street PC Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Dec 5, 2023 Accepting new patients
Mount Nittany Medical Center Health Services Inc CurrentSince Nov 8, 2024 Accepting new patients
Main Street Radiology at Bayside LLC Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Frank Olney & Rudy Nicolas PTRS Diagnostic Radiology CurrentSince Jun 4, 2025 Accepting new patients
Monongahela Valley Hospital, Inc. CurrentSince Jun 14, 2024 Accepting new patients
Highlands Hospital and Health Center CurrentSince May 9, 2024 Accepting new patients
Fpa Hospital Based Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Valley Physician Services PC CurrentSince Feb 7, 2026 Accepting new patients
Highlands Hospital and Health Center CurrentSince May 9, 2024 Accepting new patients
Main Street Radiology at Bayside LLC Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Dubois Regional Medical Center Diagnostic Radiology CurrentSince Jun 14, 2024 Accepting new patients
Monongahela Valley Hospital, Inc. CurrentSince Jun 14, 2024 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Apr 21, 2025 Accepting new patients
Fpa Hospital Based CurrentSince Jul 1, 2021 Accepting new patients
Fpa Hospital Based Current Accepting new patients

Locations

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

3225 Francis Lewis Blvd
Flushing, NY 11358
Phone 61421018851070

7206 Northern Blvd
Jackson Heights, NY 11372
Phone (718) 670-1512

3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

1556 3rd Ave
Ste 506
New York, NY 10128

2950 Fairway Dr
Altoona, PA 16602
Phone (814) 946-8000

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

1700 Old Gatesburg Rd
Ste 100
State College, PA 16803
Phone (814) 237-3360

Networks

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

Interoperability endpoints

  • Direct secure messaging: konoue4574005@nychhc.direct-ci.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1790197663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL # 1141",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296504",
            "telephone_number": "617-777-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515504",
            "telephone_number": "718-579-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Old Gatesburg Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168032276",
            "country_code": "US",
            "telephone_number": "814-278-3280",
            "fax_number": "814-231-7098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 E Park Ave",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036701",
            "country_code": "US",
            "telephone_number": "814-231-7000 x6764",
            "fax_number": "814-231-7098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Gustave L Levy Pl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296504",
            "country_code": "US",
            "telephone_number": "212-241-2436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONOUE",
        "first_name": "KEITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "308086",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD483356",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.