Baktash Bootorabi, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

225867-1 Issued in NY

Practice address

2 Coulter Rd
Clifton SPGS, NY 14432-1122

Phone

(315) 462-9561

Fax

(716) 564-0209

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Diagnostic RadiologyAlso: Interventional Radiology

Education

Hahnemann University College of Medicine, 1994

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clifton Springs Hospital and Clinic Hospital, Clifton Springs, NY, CCN 330265
• Rochester General Hospital Hospital, Rochester, NY, CCN 330125
• F F Thompson Hospital Hospital, Canandaigua, NY, CCN 330074
• Newark-Wayne Community Hospital Hospital, Newark, NY, CCN 330030
• Geneva General Hospital Hospital, Geneva, NY, CCN 330058

Merit-based Incentive Payment System (MIPS)

Final score

60.15 of 100Reported as individual

Quality

79.43

Improvement activities

0

Cost

75.12

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ontario Radiology PLLC

  • Diagnostic Radiology Physician
  • Clifton Springs, NY
  • NPI 1467735084
  Medicare reassignment NPD Authorized official
• Wny Healthcare Holdings

  dba Medical Management Services

  • Case Management Agency
  • Williamsville, NY
  • NPI 1841135274
  NPD (past)
• Maritime Radiology Associates PC

  • Diagnostic Radiology Physician
  • Fort Kent, ME
  • NPI 1760628358
  NPD (past)
• Regional Radiology Associates, PC

  • Diagnostic Radiology Physician
  • Bradford, PA
  • NPI 1396714622
  NPD (past)

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

• Clifton Springs Sanitarium Co

  dba Clifton Springs Hospital and Clinic

  • General Acute Care Hospital
  • Clifton Springs, NY
  • NPI 1366505463
  Care Compare affiliation
• Geneva General Hospital Inc.

  • General Acute Care Hospital
  • Geneva, NY
  • NPI 1952418352
  Care Compare affiliation
• Geneva General Hospital, Inc

  • Family Medicine Physician
  • Clyde, NY
  • NPI 1255087003

  Hospital

  Care Compare affiliation
• Newark Wayne Community Hospital

  • General Acute Care Hospital
  • Newark, NY
  • NPI 1346369212
  Care Compare affiliation
• Newark Wayne Community Hospital

  • General Acute Care Hospital
  • Newark, NY
  • NPI 1770671182
  Care Compare affiliation
• The Frederick Ferris Thompson Hospital

  • General Acute Care Hospital
  • Canandaigua, NY
  • NPI 1194776351
  Care Compare affiliation

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992758551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 INTERNATIONAL DR STE 200",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215783",
            "telephone_number": "716-689-1901",
            "fax_number": "716-564-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COULTER RD",
            "city": "CLIFTON SPGS",
            "state": "NY",
            "postal_code": "144321122",
            "telephone_number": "315-462-9561",
            "fax_number": "716-564-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTORABI",
        "first_name": "BAKTASH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-07-13",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "225867-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.