DALLAS BROADWAY M.D.
NPI 1366646416
Radiology - Diagnostic Radiology in New York, NY
About Dallas Broadway M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DALLAS BROADWAY M.D. (NPI 1366646416) is an individual diagnostic radiology provider in New York, New York, licensed in New York (249640) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with St Mary's General Hospital, and maintains a secondary practice location in Fort Myers.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dallas Broadway M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
25Medicare enrollment records show Dallas Broadway reassigns Medicare billing to 25 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10032
- Reassigned Medicare billing, New York enrollment
- 3,922 clinicians in this Medicare group
New York, NY 10032
- Reassigned Medicare billing, New York enrollment
- 181 clinicians in this Medicare group
New York, NY 10033
- Reassigned Medicare billing, New York enrollment
- 28 clinicians in this Medicare group
Bronx, NY 10459
- Reassigned Medicare billing, New York enrollment
- 49 clinicians in this Medicare group
Bronx, NY 10459
- Reassigned Medicare billing, New York enrollment
- 22 clinicians in this Medicare group
Bronx, NY 10462
- Reassigned Medicare billing, New York enrollment
- 52 clinicians in this Medicare group
Bronx, NY 10462
- Reassigned Medicare billing, New York enrollment
- 32 clinicians in this Medicare group
New York, NY 10019
- Reassigned Medicare billing, New York enrollment
- 232 clinicians in this Medicare group
Mount Vernon, NY 10550
- Reassigned Medicare billing, New York enrollment
- 140 clinicians in this Medicare group
Yonkers, NY 10701
- Reassigned Medicare billing, New York enrollment
- 211 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mary's General Hospital
Acute Care Hospitals · Passaic, NJChristus Southeast Texas- St Elizabeth
Acute Care Hospitals · Beaumont, TXChristus Santa Rosa Medical Center
Acute Care Hospitals · San Antonio, TXChristus Santa Rosa Hospital-San Marcos
Acute Care Hospitals · San Marcos, TXCorpus Christi Medical Center,the
Acute Care Hospitals · Corpus Christi, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10032
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dallas Broadway's NPI number?
The NPI number for Dallas Broadway is 1366646416. It was assigned to this individual provider in the NPPES registry on June 13, 2007.
Where is Dallas Broadway located?
Dallas Broadway practices at 622 W 168th St, New York, Ny 10032, New York, NY 10032. The listed phone number is (877) 426-5637.
What is Dallas Broadway's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Dallas Broadway enrolled in Medicare?
Yes. Dallas Broadway is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Dallas Broadway's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dallas Broadway reassigns Medicare benefits to 25 organizations: Trustees Of Columbia University In The City Of New York (New York, NY), Columbia/Newyork-Presbyterian Advanced Imaging Inc. (New York, NY), St. Nicholas Professional Medical Services Of New York LLC (New York, NY), Foxhurst Medical Of New York LLC (Bronx, NY), Foxhurst Professional Medical Services Of New York LLC (Bronx, NY) and 20 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dallas Broadway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dallas Broadway accept?
Health plans from Cigna Healthcare, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Dallas Broadway as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Dallas Broadway affiliated with any hospitals?
According to CMS data, Dallas Broadway is affiliated with St Mary's General Hospital, Christus Southeast Texas- St Elizabeth, Christus Santa Rosa Medical Center, Christus Santa Rosa Hospital-San Marcos and Corpus Christi Medical Center,the.
When was this NPI record last updated?
The NPPES record for Dallas Broadway was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dallas Broadway, M.D. · NPI 1366646416
Diagnostic Radiology physician in New York, New York. Individual provider, active in the CMS NPPES registry since June 13, 2007.
## Identity
- **NPI:** 1366646416 (Entity type: Individual)
- **Enumerated:** June 13, 2007
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 249640 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 622 W 168TH ST, NEW YORK, NY 10032, New York, NY 10032
- **Phone:** (877) 426-5637
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 25 organizations under Medicare reassignment (form CMS-855R): Trustees Of Columbia University In The City Of New York (NPI 1508266347, New York, NY); Columbia/Newyork-Presbyterian Advanced Imaging Inc. (NPI 1356171797, New York, NY); St. Nicholas Professional Medical Services Of New York LLC (NPI 1033631064, New York, NY); Foxhurst Medical Of New York LLC (NPI 1730547522, Bronx, NY); Foxhurst Professional Medical Services Of New York LLC (NPI 1366956260, Bronx, NY); and 20 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** August 25, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1366646416) · Data from the CMS NPPES public registry.