Individual provider Active NPI

Edward Santelli, MD

  • Diagnostic Radiology Physician
  • Johnson City, NY
National Provider Identifier
1861460701
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
202598 Issued in NY
Practice address
33-57 Harrison St
Johnson City, NY 13790
Phone
(607) 763-6104
NPI assigned
Mar 8, 2006
Last updated
Apr 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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 202598 NY Primary

Addresses

Primary practice location

33-57 Harrison St
Johnson City, NY 13790

Mailing address

2555 Ponce de Leon Blvd
4TH Floor
Coral Gables, FL 33134
Phone (305) 702-5683

Other identifiers 1

IdentifierTypeStateIssuer
01663047MedicaidNY

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
I20060328000010 NY Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 7113935693 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
State University of Ny Upstate Medical University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chenango Memorial Hospital IncGroup PAC ID 7517853633, 108 clinicians
Delaware Valley Hospital Inc.Group PAC ID 2860388337, shared by 3 NPIs, 46 clinicians

Practice addresses (Care Compare)

10 -24 Mitchell Ave
Binghamton, NY 13903-1617
Phone (607) 762-3131

179 N Broad St
Norwich, NY 13815-1019
Phone (607) 337-4111

2 Titus PL
Walton, NY 13856-1455
Phone (607) 865-2400

33 -57 Harrison St
Johnson City, NY 13790-2107
Phone (607) 865-2100

4417 Vestal Pkwy E
Vestal, NY 13850-3556
Phone (607) 770-7365

4433 Vestal Pkwy E
Vestal, NY 13850-3556
Phone (607) 771-2220

54 Main St
Candor, NY 13743-1619
Phone (607) 659-7272

616 Stonehedge Dr
Vestal, NY 13850-2918
Phone (607) 729-1999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.41 of 100Reported as group
Quality
90.71
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
86.74
Promoting interoperability
99
Improvement activities
40
Cost
70.09

Merit-based Incentive Payment System (MIPS)

Final score
93.4 of 100Reported as group
Quality
86.36
Promoting interoperability
99
Improvement activities
40
Cost
79.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Valley Hospital, Inc CurrentSince Aug 1, 2021 Accepting new patients
Delaware Valley Hospital, Inc Current Accepting new patients
Chenango Memorial Hospital Inc CurrentSince May 10, 2022 Accepting new patients
Chenango Memorial Hospital, Inc. CurrentSince May 10, 2022 Accepting new patients
Chenango Memorial Hospital Inc Current Accepting new patients
Pet CT Imaging Center LLC Diagnostic Radiology Current Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Delaware Valley Hospital, Inc Past Accepting new patients

Locations

2555 Ponce de Leon Blvd
Fl 4
Coral Gables, FL 33134

10-42 Mitchell Ave
Binghamton, NY 13903
Phone (607) 762-2468

91 Chenango Bridge Rd
Binghamton, NY 13901
Phone (607) 648-4151

53 Pine St
Deposit, NY 13754
Phone (607) 467-4195

1302 E Main St
Endicott, NY 13760
Phone (607) 754-7171

30 Harrison St
Ste 102
Johnson City, NY 13790
Phone (607) 729-7082

32-36 Harrison St
Johnson City, NY 13790
Phone (607) 217-1021

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

52 Harrison St
Johnson City, NY 13790
Phone (607) 729-8845

179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111

4 Newton Ave
Norwich, NY 13815
Phone 60733741112167

179 River St
Oneonta, NY 13820
Phone (607) 432-8477

42 W Main St
Owego, NY 13827
Phone (607) 687-0350

44 Pearl St W
Sidney, NY 13838
Phone (607) 563-3512

1 Titus Pl
Walton, NY 13856
Phone (607) 337-4700

2 Titus Pl
Walton, NY 13856
Phone (607) 865-2197

2 Titus Pl
#13202
Walton, NY 13856
Phone (607) 865-2197

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.

Hospital & facility affiliations 6

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335484800000",
    "number": "1861460701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 PONCE DE LEON BLVD",
            "address_2": "4TH FLOOR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "305-702-5683",
            "fax_number": "305-441-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33-57 HARRISON ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "13790",
            "telephone_number": "607-763-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTELLI",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2012-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "202598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01663047",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

Verify at the official NPI Registry.