Michael Donald Radosevich, M.D., P.H.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

252133 Issued in NY

Practice address

1365 Washington Ave.
Suite 101
Albany, NY 12206-1099

Phone

(518) 437-1111

Fax

(518) 435-1114

NPI assigned

Jun 27, 2006

Last updated

Oct 1, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Specialty

Ophthalmology

Education

Johns Hopkins University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capital Region Retina, PLLCGroup PAC ID 1254418411, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mradosevich@capitalregionretina.medentdirect.com
• Direct secure messaging: mradosevich28641@albanymed.direct-ci.com

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.

• Capital Region Retina, PLLC

  • Specialist
  • Albany, NY
  • NPI 1982888988
  Medicare reassignment Care Compare group NPD
• Jeffrey H Stern, MD, PHD, LLC

  • Specialist
  • Albany, NY
  • NPI 1831399773

  Ophthalmology

  NPD (past)
• Ophthalmic Consultants of Boston, Inc.

  • Ophthalmology Physician
  • Plymouth, MA
  • NPI 1124697289
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Samaritan Hospital of Troy, New York

  • General Acute Care Hospital
  • Troy, NY
  • NPI 1043267727
  Care Compare affiliation

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1932136827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MOUNTAIN LEDGE DR",
            "city": "WILTON",
            "state": "NY",
            "postal_code": "128312539",
            "telephone_number": "518-437-1111",
            "fax_number": "518-435-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 WASHINGTON AVE.",
            "address_2": "SUITE 101",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061099",
            "telephone_number": "518-437-1111",
            "fax_number": "518-435-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADOSEVICH",
        "first_name": "MICHAEL",
        "middle_name": "DONALD",
        "credential": "M.D., P.H.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "36488",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "252133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0727685",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "19934",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03092862",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Chineda Rachel-Casaigne, LPN
• Bonnie Racine, RN
• Stephanie L Racz, PA-C
• Radiance Mental Health Counseling, PLLC
• Joshua Radliff, LMHC-D
• Michael Raduazzo, LMHC
• Tatyana Rafeel, SLP
• Terina Rafferty
• Christine M Raffo, AUD
• Muhammad Nabi Rafiqi, MD

• Ophthalmology Physician in Albany, NY
• Providers in Albany, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.

Verify at the official NPI Registry.