Mohawk Glen Radiology Associates of Cny PLLC
NPI 1538466115ActiveOrganization· Radiology, Diagnostic Radiology· Rome, NY
Radiology, Diagnostic Radiology in Rome, New York, registered in NPPES in February 2011. The authorized official on file is Philip J. Fraccola, MD, Authorized Signer. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1538466115 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 17, 2011 |
| Last updated in NPPES | Mar 4, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (NY) |
|---|
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