Empire State Radiology P C

NPI 1255962783ActiveOrganization· Radiology, Diagnostic Radiology· West Islip, NY

Radiology, Diagnostic Radiology in West Islip, New York, registered in NPPES in February 2020. The authorized official on file is Karen Vaughn, Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI	1255962783
Status	Active
Entity type	Organization
NPI issued	Feb 3, 2020
Last updated in NPPES	Mar 26, 2026
Certified by provider	Mar 26, 2026

Specialties and licenses

Taxonomy	Code	License	State
Radiology, Diagnostic Radiology Primary	2085R0202X	—	—
Radiology, Vascular & Interventional Radiology	2085R0204X	—	—

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Nov 10, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026	No match	—
New York OMIG · Nov 11, 2026	No match	—
Ohio Medicaid · Nov 11, 2026	No match	—
Pennsylvania Medicheck · Nov 11, 2026	No match	—
Washington HCA · Nov 11, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Part B Supplier - Clinic/Group Practice (AL); Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (CT); Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (DE); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (GU); Part B Supplier - Clinic/Group Practice (HI); Part B Supplier - Clinic/Group Practice (ID); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (KS); Part B Supplier - Clinic/Group Practice (KY); Part B Supplier - Clinic/Group Practice (LA); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (MD); Part B Supplier - Clinic/Group Practice (ME); Part B Supplier - Clinic/Group Practice (MI); Part B Supplier - Clinic/Group Practice (MN); Part B Supplier - Clinic/Group Practice (MO); Part B Supplier - Clinic/Group Practice (MT); Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (NH); Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (NM); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (OH); Part B Supplier - Clinic/Group Practice (OK); Part B Supplier - Clinic/Group Practice (OR); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (PR); Part B Supplier - Clinic/Group Practice (RI); Part B Supplier - Clinic/Group Practice (SC); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (UT); Part B Supplier - Clinic/Group Practice (VA); Part B Supplier - Clinic/Group Practice (WA); Part B Supplier - Clinic/Group Practice (WI)

Enrollment (PECOS)

Enrolled Part B Supplier - Clinic/Group Practice (AL); Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (CT); Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (DE); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (GU); Part B Supplier - Clinic/Group Practice (HI); Part B Supplier - Clinic/Group Practice (ID); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (KS); Part B Supplier - Clinic/Group Practice (KY); Part B Supplier - Clinic/Group Practice (LA); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (MD); Part B Supplier - Clinic/Group Practice (ME); Part B Supplier - Clinic/Group Practice (MI); Part B Supplier - Clinic/Group Practice (MN); Part B Supplier - Clinic/Group Practice (MO); Part B Supplier - Clinic/Group Practice (MT); Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (NH); Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (NM); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (OH); Part B Supplier - Clinic/Group Practice (OK); Part B Supplier - Clinic/Group Practice (OR); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (PR); Part B Supplier - Clinic/Group Practice (RI); Part B Supplier - Clinic/Group Practice (SC); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (UT); Part B Supplier - Clinic/Group Practice (VA); Part B Supplier - Clinic/Group Practice (WA); Part B Supplier - Clinic/Group Practice (WI)

Medicare sources and data years

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