Individual provider Active NPI

Michael Robert Cellini, D.O.

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1831583939
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MB11083500 Issued in NJ
Practice address
100 E 77TH St
New York, NY 10075-1850
Phone
(212) 434-6262
NPI assigned
Mar 26, 2015
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MB11083500 NJ Primary
Diagnostic Radiology Physician 2085R0202X 22091 ND
Diagnostic Radiology Physician 2085R0202X V5882 TX
Diagnostic Radiology Physician 2085R0202X OS22703 FL
Vascular & Interventional Radiology Physician 2085R0204X V5882 TX

Addresses

Primary practice location

100 E 77TH St
New York, NY 10075-1850

Mailing address

100 E 77TH St
New York, NY 10075-1850
Phone (212) 434-6262

Other practice location 1

4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200

Other practice location 2

5225 23rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575

Other practice location 3

2101 Pease St
Harlingen, TX 78550-8307
Phone (956) 389-6565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, TX, NC, AL, AZ, ND, NY, NM, FL9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20210624001189 NJ Practitioner - Diagnostic Radiology 6305137340 Reassigns benefits to 7 organizations
I20250224000604 TX Practitioner - Diagnostic Radiology 6305137340 Reassigns benefits to 2 organizations
I20250317000241 NC Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 6305137340
I20250605002444 AL Practitioner - Diagnostic Radiology 6305137340 Reassigns benefits to 8 organizations
I20250619002000 AZ Practitioner - Diagnostic Radiology 6305137340 Reassigns benefits to 2 organizations
I20250711002765 ND Practitioner - Diagnostic Radiology 6305137340 Reassigns benefits to 2 organizations
I20250904000948 NY Practitioner - Diagnostic Radiology 6305137340 Reassigns benefits to 1 organization
I20251017000740 NM Practitioner - Interventional Radiology 6305137340 Reassigns benefits to 2 organizations
I20251118002063 FL Practitioner - Diagnostic Radiology 6305137340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Philadelphia College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford ClinicGroup PAC ID 0244143824, 268 clinicians
Wetumpka Urgent Care LLCGroup PAC ID 6800053133, 50 clinicians
Chilton Family Care, LLCGroup PAC ID 7517189855, 14 clinicians
Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians
River Region Family Medicine, LLCGroup PAC ID 2163853151, 56 clinicians
Concord Radiology PLLCGroup PAC ID 8628332061, 217 clinicians
ER Physician Group at Jackson HospitalGroup PAC ID 8729059472, 153 clinicians
Peterson Medical AssociatesGroup PAC ID 1355467887, 192 clinicians
Enterprise Urgent CareGroup PAC ID 1456647197, 35 clinicians
Ivy Creek of Elmore LLCGroup PAC ID 8426075508, 99 clinicians

Practice addresses (Care Compare)

Little Silver, NJ 07739
Phone (469) 677-7430

Fargo, ND 58104
Phone (469) 677-7430

11 Cambridge CT
Wetumpka, AL 36093-1261
Phone (334) 567-8633

1210 7TH St S
Clanton, AL 35045-3724
Phone (334) 514-3820

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

1600 S 20TH Ave
Safford, AZ 85546-4011
Phone (928) 348-4000

277 Huntress St
Suite 100
Wetumpka, AL 36092-3329

277 Huntress St
Suite 100
Wetumpka, AL 36092-3342
Phone (334) 567-3309

33 Kings Rd
Little Silver, NJ 07739-1617
Phone (718) 223-4685

4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200

575 Hill Country Dr
Suite 101
Kerrville, TX 78028-6024
Phone (830) 258-7090

600 S 3Rd St
Gadsden, AL 35901-5304
Phone (256) 467-4731

6582 Boll Weevil Cir
Enterprise, AL 36330-9424
Phone (334) 347-2027

PO Box
Suite 130
Wetumpka, AL 36092

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.53 of 100Reported as group
Quality
57.06
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.27 of 100Reported as group
Quality
91.25
Improvement activities
40
Cost
65.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS22703FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Express Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Sanford Medical Center Fargo CurrentSince Apr 28, 2025 Accepting new patients
Sanford Medical Center Fargo Family Medicine Current Accepting new patients
Wetumpka Urgent Care LLC CurrentSince Dec 10, 2025 Accepting new patients
Health Village Imaging, LLC CurrentSince Jul 1, 2021 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Sep 28, 2024 Accepting new patients
Mt Graham Regional Medical Center Inc CurrentSince May 4, 2025 Accepting new patients
Enterprise Urgent Care CurrentSince Nov 23, 2025 Accepting new patients
Sanford Clinic Diagnostic Radiology CurrentSince Aug 10, 2025 Accepting new patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology CurrentSince Sep 16, 2025 Accepting new patients
Prime Healthcare Services-Gadsden Physician Management LLC Family Medicine CurrentSince Mar 9, 2025 Accepting new patients
Chilton Family Care, LLC Family Medicine CurrentSince Dec 10, 2025 Accepting new patients
Hackensack Meridian Outpatient Services, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Hackensack Meridian Outpatient Services, Inc. CurrentSince Feb 15, 2023 Accepting new patients
ER Physician Group at Jackson Hospital CurrentSince Nov 6, 2025 Accepting new patients
Mid Coast Health System CurrentSince May 1, 2025 Accepting new patients
Ivy Creek of Elmore, LLC Family Medicine CurrentSince Dec 10, 2025 Accepting new patients
Sanford Medical Center Fargo CurrentSince Apr 28, 2025 Accepting new patients
Ivy Creek of Elmore, LLC CurrentSince Dec 10, 2025 Accepting new patients
River Region Family Medicine, LLC Family Medicine CurrentSince Nov 10, 2025 Accepting new patients
Concord Radiology PLLC Diagnostic Radiology CurrentSince May 2, 2025 Accepting new patients
Ivy Creek Family Care of Lake Martin Family Medicine CurrentSince Dec 10, 2025 Accepting new patients
Coaxion PLLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc Family Medicine CurrentSince Oct 3, 2025 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc Diagnostic Radiology CurrentSince Oct 3, 2025 Accepting new patients
Coastal Imaging LLC Diagnostic Radiology CurrentSince Jul 15, 2021 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc. CurrentSince Oct 3, 2025 Accepting new patients
Peterson Medical Associates Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
Mid Coast Health System CurrentSince May 1, 2025 Accepting new patients
Global Imaging Specialists, LLC Diagnostic Radiology Past Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations (25 of 40)

1210 7th St S
Clanton, AL 35045
Phone (205) 280-0620

4412 Hogan Rd
Deatsville, AL 36022
Phone (334) 514-4851

6582 Boll Weevil Cir
Enterprise, AL 36330
Phone (334) 347-2027

303 Bay St
Ste 401
Gadsden, AL 35901
Phone (256) 413-6591

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

1642A Pelham Rd S
Jacksonville, AL 36265
Phone (256) 543-1222

4081 Highway 14
Millbrook, AL 36054
Phone (334) 285-3222

277 Huntress St
Ste 100
Wetumpka, AL 36092
Phone (334) 567-3309

41 Cambridge Ct
Wetumpka, AL 36093
Phone (334) 567-3309

500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542

1600 S 20th Ave
Safford, AZ 85546
Phone (928) 348-4000

4250 Hospital Dr
Marianna, FL 32446
Phone (850) 526-2200

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

4820 23rd Ave S
Fargo, ND 58104

5225 23rd Ave S
Fargo, ND 58104
Phone (701) 234-5933

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

1301 Route 72 W
Ste 100
Manahawkin, NJ 08050
Phone (609) 978-8272

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

1900 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-1820

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 726-6875

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

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10998/brand/1/csg/1/fhir/r4

Organizations & group practices 32

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.

View all 32

Hospital & facility affiliations 5

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": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1831583939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 77TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751850",
            "telephone_number": "212-434-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 77TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751850",
            "telephone_number": "212-434-6262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4250 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Marianna",
            "state": "FL",
            "postal_code": "324461917",
            "country_code": "US",
            "telephone_number": "850-526-2200",
            "fax_number": "850-718-2844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5225 23rd Ave S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581047927",
            "country_code": "US",
            "telephone_number": "701-417-2575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 Pease St",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785508307",
            "country_code": "US",
            "telephone_number": "956-389-6565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CELLINI",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-26",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MB11083500",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ND",
            "license": "22091",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "V5882",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "OS22703",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "V5882",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.