Individual provider Active NPI

Michele Awobuluyi, MD

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1841226388
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
191625 Issued in NY
Practice address
153 W 11TH St
New York, NY 10011-8305
Phone
(212) 604-2416
NPI assigned
Jun 25, 2006
Last updated
Feb 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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 191625 NY Primary

Addresses

Primary practice location

153 W 11TH St
New York, NY 10011-8305

Mailing address

350 W 43Rd St
Apt 35B
New York, NY 10036-6454

Other identifiers 1

IdentifierTypeStateIssuer
1906358MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, NJ, MI4 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
I20081124000073 NY Practitioner - Diagnostic Radiology 2062572886 Reassigns benefits to 18 organizations
I20230412001140 FL Practitioner - Diagnostic Radiology 2062572886 Reassigns benefits to 6 organizations
I20230510003326 NJ Practitioner - Diagnostic Radiology 2062572886 Reassigns benefits to 3 organizations
I20250709000327 MI Practitioner - Diagnostic Radiology 2062572886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stand-Up MRI of Melville, PCGroup PAC ID 5496645756, 14 clinicians
Stand-Up MRI of Deer Park, P.C.Group PAC ID 2163317157, 15 clinicians
Comprehensive MRI of New York PCGroup PAC ID 5193615474, 16 clinicians
Damadian MRI in Canarsie, P.C.Group PAC ID 3577454255, 10 clinicians
Stand-Up MRI of the Bronx, P.C.Group PAC ID 5698667467, 15 clinicians
Stand-Up MRI of Staten Island, PCGroup PAC ID 9436040904, 14 clinicians
Reono Bertagnolli a Medical GroupGroup PAC ID 6800709783, 47 clinicians
Stand-Up MRI of Lynbrook, P.C.Group PAC ID 2668443375, 15 clinicians
Stand-Up MRI of Bensonhurst, PCGroup PAC ID 6002706637, 15 clinicians
Stand-Up MRI of Manhattan,P.C.Group PAC ID 7618964206, 14 clinicians
Stand-Up MRI of Brooklyn, P.C.Group PAC ID 5395630420, 14 clinicians
Stand-Up MRI of Carle Place, P.C.Group PAC ID 3971498940, 14 clinicians
Stand-Up MRI of East Elmhurst PCGroup PAC ID 9335139328, 15 clinicians
Kan-Di-Ki LLCGroup PAC ID 5991737140, 38 clinicians

Practice addresses (Care Compare)

110 Marcus Dr
Melville, NY 11747-4228
Phone (631) 454-0539

1118 Deer Park Ave
North Babylon, NY 11703-3102
Phone (631) 243-3222

1710 Veterans Memorial Hwy
Islandia, NY 11749-1512
Phone (631) 348-0996

2035 Ralph Ave
Suite A5
Brooklyn, NY 11234-5300
Phone (718) 209-1070

2050 Eastchester Rd
Suite 1B
Bronx, NY 10461-2203
Phone (718) 678-1970

2090 Hylan Blvd
Staten Island, NY 10306-3423
Phone (718) 351-0616

21900 Melrose Ave
Suite 1
Southfield, MI 48075-7967
Phone (800) 786-8015

229 Broadway
Lynbrook, NY 11563-3295
Phone (516) 256-1558

2671 86TH St
Brooklyn, NY 11223-3565
Phone (718) 946-7304

301 E 55TH St
New York, NY 10022-4101
Phone (212) 772-2300

305 E 55TH St
Suite 102
New York, NY 10022-4148
Phone (212) 772-2300

306 5TH St
Suite 308
Brooklyn, NY 11215-4593
Phone (718) 768-7700

31 Old Country Rd
Carle Place, NY 11514-1800
Phone (516) 746-2248

600 Northern Blvd
Great Neck, NY 11021-5200
Phone (516) 478-0004

70 E Sunrise Hwy
Valley Stream, NY 11581-1233
Phone 800786801576145

70 E Sunrise Hwy
Valley Stream, NY 11581-1240
Phone (800) 786-8015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
191625NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stand-Up MRI of Manhattan,P.C. Diagnostic Radiology Current Accepting new patients
Comprehensive MRI of New York, P.C. CurrentSince Jul 15, 2023 Accepting new patients
Stand-Up MRI of Bensonhurst, PC Diagnostic Radiology CurrentSince Apr 1, 2018 Accepting new patients
Stand-Up MRI of Brooklyn, P.C. Diagnostic Radiology CurrentSince Jul 15, 2023 Accepting new patients
Stand-Up MRI of Lynbrook, P.C. Diagnostic Radiology CurrentSince Jul 15, 2023 Accepting new patients
Kan-Di-Ki LLC CurrentSince Feb 9, 2018 Accepting new patients
Stand-Up MRI of Manhattan, P.C. Diagnostic Radiology CurrentSince Apr 1, 2018 Accepting new patients
Stand-Up MRI of Carle Place, P.C. Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
Comprehensive MRI of New York, P.C. Diagnostic Radiology Current Accepting new patients
Stand-Up MRI of Melville, PC Diagnostic Radiology CurrentSince Jul 15, 2023 Accepting new patients
Quality Medical Imaging of California, Inc CurrentSince Jun 19, 2024 Accepting new patients
American Diagnostics Services LLC CurrentSince Mar 1, 2018 Accepting new patients
Kan-Di-Ki, LLC CurrentSince Apr 7, 2019 Accepting new patients
Stand-Up MRI of East Elmhurst, PC Diagnostic Radiology Current Accepting new patients
Stand-Up MRI of East Elmhurst, P.C. CurrentSince Jul 15, 2023 Accepting new patients
Stand-Up MRI of Staten Island, PC Diagnostic Radiology CurrentSince Jul 15, 2023 Accepting new patients
Stand-Up MRI of the Bronx, P.C. Diagnostic Radiology CurrentSince Apr 1, 2018 Accepting new patients
Ultramobile Imaging Inc CurrentSince Aug 2, 2024 Accepting new patients
Stand-Up MRI of Deer Park, P.C. Diagnostic Radiology CurrentSince Jul 15, 2023 Accepting new patients
Stand-Up MRI of Queens, P.C. Diagnostic Radiology CurrentSince Apr 1, 2018 Accepting new patients
Symphony Diagnostic Services No 1 LLC CurrentSince Mar 28, 2018 Accepting new patients
Damadian MRI in Canarsie, P.C. Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
Comprehensive MRI of New York, P.C. CurrentSince Jul 15, 2023 Accepting new patients
Bimc Faculty Practice Past Accepting new patients
Comprehensive MRI of New York, P.C. Diagnostic Radiology Past Accepting new patients
SLR Diagnostic Radiology, P.C. Diagnostic Radiology Past Accepting new patients
SLR Diagnostic Radiology, P.C. Diagnostic Radiology Past Accepting new patients
Saint Vincents Hospital and Medical Center Diagnostic Radiology Past Accepting new patients
East Manhattan Diagnostic Imaging, P.C. Diagnostic Radiology Past Accepting new patients
Beth Israel Medical Center Diagnostic Radiology Past Accepting new patients
Lucia's Pharmacy Inc. PastSince Nov 1, 2019 Accepting new patients

Locations (25 of 27)

2820 N Ontario St
Burbank, CA 91504
Phone (818) 480-9100

4400 140th Ave N
Ste 200
Clearwater, FL 33762
Phone (727) 443-0389

4400 140th Ave N
Ste 200230
Clearwater, FL 33762
Phone (727) 443-0389

930 Ridgebrook Rd
Sparks Glencoe, MD 21152
Phone (264) 532-5146

930 Ridgebrook Rd
Fl 3
Sparks Glencoe, MD 21152
Phone (443) 662-4101

133 Fleming St
Piscataway, NJ 08854
Phone (732) 264-8878

2035 Ralph Ave
Ste A5
Brooklyn, NY 11234
Phone (718) 209-1070

2294 Nostrand Ave
Ste 1003
Brooklyn, NY 11210
Phone (718) 377-3401

31 Old Country Rd
Carle Place, NY 11514
Phone (516) 746-2248

7533 31st Ave
East Elmhurst, NY 11370
Phone (718) 779-2825

24 Research Way
Ste 400
East Setauket, NY 11733
Phone (631) 444-5361

16720 Union Tpke
Flushing, NY 11366
Phone (718) 969-6222

600 Northern Blvd
Ste 117
Great Neck, NY 11021
Phone (516) 442-3461

1710 Veterans Memorial Hwy
Islandia, NY 11749
Phone (516) 348-0996

229 Broadway
Lynbrook, NY 11563
Phone (516) 256-1558

110 Marcus Dr
Melville, NY 11747
Phone (631) 390-1793

301 E 55th St
New York, NY 10022
Phone (212) 772-2300

305 E 55th St
Apt 102
New York, NY 10022
Phone (212) 751-9714

1118 Deer Park Ave
North Babylon, NY 11703
Phone (631) 243-3222

2090 Hylan Blvd
Staten Island, NY 10306
Phone (718) 351-0616

2090 Hylan Blvd
Ste A
Staten Island, NY 10306

70 E Sunrise Hwy
Valley Stream, NY 11581
Phone (516) 825-3600

70 E Sunrise Hwy
Ste 500
Valley Stream, NY 11581
Phone (516) 884-9977

1165 Wantagh Ave
Wantagh, NY 11793
Phone (516) 781-1800

311 North St
Ste G-10
White Plains, NY 10605
Phone (914) 946-9400

Organizations & group practices 42

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 42

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1841226388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W 43RD ST",
            "address_2": "APT 35B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100366454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 W 11TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118305",
            "telephone_number": "212-604-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWOBULUYI",
        "first_name": "MICHELE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "191625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1906358",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.