Active NPI
Rand Stack, MD
- Diagnostic Radiology Physician
- Yonkers, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 175062
- Practice address
- 73 Market St
Yonkers, NY 10710-7616 - Phone
- (914) 682-6430
- NPI assigned
- Jun 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 175062 | NY | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 032665 | CT |
Addresses
Primary practice location
73 Market St
Yonkers, NY 10710-7616
Mailing address
73 Market St
Yonkers, NY 10710-7616
Phone (914) 682-6430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090331000464 | NY | Practitioner - Diagnostic Radiology | 2567529894 | Reassigns benefits to 1 organization |
| I20110701000290 | CT | Practitioner - Diagnostic Radiology | 2567529894 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Westchester Medical Group, P.C
Practice addresses (Care Compare)
1 Theall Rd
Rye, NY 10580-1404
Phone (914) 848-8888
1084 N Broadway
Yonkers, NY 10701-1107
Phone (914) 848-8640
171 Huguenot St
New Rochelle, NY 10801-7760
Phone (914) 607-5800
210 Westchester Ave
White Plains, NY 10604-2901
Phone (914) 682-0700
3030 Westchester Ave
Purchase, NY 10577-2574
Phone (914) 831-4100
644 W Putnam Ave
Greenwich, CT 06830-6088
Phone (203) 622-0303
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032665 | CT | MD | Diagnostic Radiology Physician |
Practice roles (8 of 12)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westchester Medical Group, P.C. | Current | Accepting new patients | |
| The Westchester Medical Group PC | Current | Accepting new patients | |
| White Plains Radiology Associates PC | Diagnostic Radiology | Past | Accepting new patients |
| Bimc Faculty Practice | Past | Accepting new patients | |
| East Manhattan Diagnostic Imaging, P.C. | Diagnostic Radiology | Past | Accepting new patients |
| Healthcare Radiology and Diagnostic Systems PLLC | Diagnostic Radiology | Past | Accepting new patients |
| SLR Diagnostic Radiology, P.C. | Diagnostic Radiology | Past | Accepting new patients |
| Phelps Imaging Services,P.C | Past | Accepting new patients |
Locations
5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330
644 W Putnam Ave
Greenwich, CT 06830
Phone (203) 210-2880
1 Theall Rd
Rye, NY 10580
Phone (914) 848-8700
210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100
73 Market St
Yonkers, NY 10710
Phone (914) 848-8030
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- rand.stack.1@21260.direct.athenahealth.com
- rstack@hiemail.healtheconnections.org
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466553600000",
"number": "1861498537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 MARKET ST",
"city": "YONKERS",
"state": "NY",
"postal_code": "107107616",
"telephone_number": "914-682-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 MARKET ST",
"city": "YONKERS",
"state": "NY",
"postal_code": "107107616",
"telephone_number": "914-682-6430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STACK",
"first_name": "RAND",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2016-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "175062",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CT",
"license": "032665",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.