Individual provider Active NPI

John Mastrangelo, M.D.

  • Diagnostic Radiology Physician
  • Albany, NY
National Provider Identifier
1790986230
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
265220 Issued in NY
Practice address
47 New Scotland Ave
Albany, NY 12208
Phone
(518) 262-2280
NPI assigned
May 31, 2007
Last updated
Aug 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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 265220 NY Primary

Addresses

Primary practice location

47 New Scotland Ave
Albany, NY 12208

Mailing address

16 Henkes LN
Latham, NY 12110-5014
Phone (518) 331-5771

Other practice location 1

150 Sawkill Rd
Kingston, NY 12401-1208
Phone (845) 690-6977

Other identifiers 1

IdentifierTypeStateIssuer
03466382MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, MD, DC4 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
I20120801000251 NY Practitioner - Diagnostic Radiology 9234309048 Reassigns benefits to 3 organizations
I20220630001387 PA Practitioner - Diagnostic Radiology 9234309048 Reassigns benefits to 1 organization
I20240412001774 MD Practitioner - Diagnostic Radiology 9234309048 Reassigns benefits to 1 organization
I20240412002111 DC Practitioner - Diagnostic Radiology 9234309048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albany Medical College of Union University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True North Medical Group PCGroup PAC ID 7012194806, 185 clinicians
Millennium Medical Imaging PCGroup PAC ID 5799776910, 34 clinicians

Practice addresses (Care Compare)

16 Henkes LN
Latham, NY 12110-5014
Phone (516) 536-2800

169 Riveride Dr
Binghamton, NY 13905-4246
Phone (607) 798-5111

17 Chenango Bridge Rd
Binghamton, NY 13901-1233
Phone (607) 772-2995

203 Old Military Rd
Lake Placid, NY 12946-1738
Phone (518) 650-7503

211 Church St
Saratoga Springs, NY 12866-1003
Phone (518) 583-8461

2233 State Route 86
Saranac Lake, NY 12983-5644
Phone (518) 897-2317

240 Riverside Dr
Johnson City, NY 13790-2727
Phone (518) 650-7503

276 -280 Robinson St
Binghamton, NY 13904-1659
Phone (607) 771-7234

3040 Route 50
Saratoga Springs, NY 12866-3073
Phone (518) 650-7503

3101 Shippers Rd
Vestal, NY 13850-2080
Phone (607) 786-4822

39 E Main St
Hancock, NY 13783-1128
Phone (607) 637-5700

415 E Main St
Endicott, NY 13760-4925
Phone (607) 785-2460

500 5TH Ave
Owego, NY 13827-1620
Phone (607) 687-1122

6 Medical Park Dr
Malta, NY 12020-5051
Phone (518) 289-2024

6400 Collamer Rd
East Syracuse, NY 13057-1032
Phone (800) 533-9729

65 Pennsylvania Ave
Binghamton, NY 13903-1651
Phone (607) 723-5393

7 Herbert Dr
Latham, NY 12110-3801
Phone (518) 785-3511

7 Stetson Rd
Tupper Lake, NY 12986-2014
Phone (518) 359-7000

7 Timmerman Ave
St Johnsville, NY 13452-1017
Phone (518) 568-7145

84 E State St
Gloversville, NY 12078-1202
Phone (518) 773-8894

99 E State St
Gloversville, NY 12078-1203
Phone (518) 773-5522

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
265220NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Radiology Associates, PLLC CurrentSince Mar 25, 2024 Accepting new patients
Washington Radiology Assoc PLLC CurrentSince Mar 5, 2024 Accepting new patients
Barnes-Kasson County Hospital CurrentSince Jun 1, 2022 Accepting new patients
True North Medical Group PC Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
True North Medical Group PC CurrentSince Mar 1, 2025 Accepting new patients
Progressive MRI, LLC Diagnostic Radiology CurrentSince Sep 1, 2018 Accepting new patients
Barnes-Kasson County Hospital CurrentSince Jun 1, 2022 Accepting new patients

Locations

2141 K St NW
Ste 200
Washington, DC 20037
Phone (202) 223-9722

100 Fulford Ave
Bel Air, MD 21014
Phone (410) 838-6767

1820 Sweetbay Dr
Ste 102
Salisbury, MD 21804
Phone (410) 546-3390

8002 Kew Gardens Rd
Kew Gardens, NY 11415
Phone (718) 275-2130

36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570

2872 Turnpike St
Susquehanna, PA 18847
Phone (570) 853-3135

3015 Williams Dr
Ste 200
Fairfax, VA 22031
Phone (703) 641-9133

Interoperability endpoints

  • Direct secure messaging: jmastrangelo99621@albanymed.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1790986230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HENKES LN",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121105014",
            "telephone_number": "518-331-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12208",
            "telephone_number": "518-262-2280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Sawkill Rd",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "NY",
            "postal_code": "124011208",
            "country_code": "US",
            "telephone_number": "845-690-6977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASTRANGELO",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "265220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03466382",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.