Individual provider Active NPI

John James Picano, MD

  • Diagnostic Radiology Physician
  • Utica, NY
National Provider Identifier
1912955915
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
181727 Issued in NY
Practice address
1656 Champlin Ave
Utica, NY 13502-4830
Phone
(315) 624-6116
NPI assigned
May 4, 2006
Last updated
May 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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 181727 NY Primary

Addresses

Primary practice location

1656 Champlin Ave
Utica, NY 13502-4830

Mailing address

185 Genesee St
Suite 600
Utica, NY 13501-2199
Phone (315) 793-8806

Other practice location 1

185 Genesee St
Suite 600
Utica, NY 13501-2199
Phone (315) 793-8806

Other identifiers 9

IdentifierTypeStateIssuer
01647929MedicaidNY
040426013862OtherNYFIDELIS
181727-9OtherNYWC
P010181727OtherNYBCBS
10044432OtherNYCDPHP
225136OtherNYMVP
9600800OtherNYGHI
01224322MedicaidNY
300021951OtherNYRAIL ROAD MEDICARE

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
I20040527000077 NY Practitioner - Diagnostic Radiology 4082605829 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York at Buffalo School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cmi Professional ServicesGroup PAC ID 2466419718, 13 clinicians
Radiology Associates of New Hartford LLPGroup PAC ID 6002807831, 21 clinicians

Practice addresses (Care Compare)

107 Business Park Dr
Utica, NY 13502-6303
Phone (315) 792-4666

1656 Champlin Ave
Utica, NY 13502-4830
Phone (315) 646-6116

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of New Hartford LLP Diagnostic Radiology CurrentSince Sep 1, 1990 Accepting new patients
Cmi Professional Services CurrentSince Jan 1, 1995 Accepting new patients

Locations

1729 Burrstone Rd
New Hartford, NY 13413
Phone (315) 798-1500

1500 N James St
Rome, NY 13440
Phone (315) 338-7000

107 Business Park Dr
Utica, NY 13502
Phone (315) 792-4666

1656 Champlin Ave
Utica, NY 13502
Phone (315) 624-6241

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

185 Genesee St
Ste 600
Utica, NY 13501
Phone (315) 793-5506

Interoperability endpoints

  • Direct secure messaging: jpicano11948@mvhealthsystem.direct-ci.com

Organizations & group practices 2

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 9

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1912955915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 GENESEE ST",
            "address_2": "SUITE 600",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135012199",
            "telephone_number": "315-793-8806",
            "fax_number": "315-793-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 CHAMPLIN AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024830",
            "telephone_number": "315-624-6116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 Genesee St",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135012199",
            "country_code": "US",
            "telephone_number": "315-793-8806",
            "fax_number": "315-793-8046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICANO",
        "first_name": "JOHN",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "181727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01647929",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040426013862",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WC",
            "identifier": "181727-9",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "P010181727",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10044432",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "225136",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9600800",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01224322",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "300021951",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.