DR. JOHN PATRICK FANTAUZZI M.D. NPI 1649442070

NPI Information

  • NPI: 1649442070
  • Provider Name: DR. JOHN PATRICK FANTAUZZI, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 711 TROY SCHENECTADY RD
    SUITE 201
    LATHAM, NY
    ZIP 12110
  • Phone: (518) 782-3700

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NPI Details

DR. John Patrick Fantauzzi, M.D. is a diagnostic radiology radiology in Latham, NY with 23 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. John Patrick Fantauzzi, M.D. NPI is 1649442070. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK MEDICAL COLLEGE
Graduation Year:2003

The provider's business location address is:

711 TROY SCHENECTADY RD
SUITE 201
LATHAM, NY
ZIP 12110-442
Phone: (518) 782-3700
Fax: (518) 782-3799

The NPI 1649442070 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of blood vessels and grafts of heart with contrast (HCPCS:75574)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Mri scan of heart before and after contrast (HCPCS:75561)

The enumeration date for this NPI number is 3/26/2008 and was last updated on 1/18/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyD0066858MARYLANDNo
22085R0202XRadiologyDiagnostic Radiology233230NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1J400060887MEDICARE PINNEW YORK
203091572MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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