SOFIA DANILOVA M.D.
NPI 1376907261
Radiology - Diagnostic Radiology in Albany, NY

Active since April 07, 2016PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
315 S MANNING BLVD, ALBANY, NY 12208(518) 525-1401(518) 525-1200 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 2, 2023, Jan 12, 2022 (2 updates tracked since 2022).

About Sofia Danilova M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOFIA DANILOVA M.D. (NPI 1376907261) is an individual diagnostic radiology provider in Albany, New York, licensed in New York (307388) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1376907261
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameSOFIA DANILOVACredential: M.D.
Location Address315 S MANNING BLVDAlbany, NY 12208-1707
Mailing AddressPo Box 14890Albany, NY 12212-4890
Fax(518) 525-1200
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 7, 2016
Last NPPES UpdateNovember 2, 20232 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
✔ NPI 1376907261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in NY · 307388
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
315 S MANNING BLVD, Albany, NY 12208

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

Sofia Danilova 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.

PECOS PAC ID749676088
PECOS Enrollment IDI20220413000974
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Sofia Danilova reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
317 SOUTH MANNING BLVD SUITE C364, ST PETER'S BREAST SURGERY
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • 742 clinicians in this Medicare group
General Acute Care Hospital
1101 NOTT ST
Schenectady, NY 12308
  • Reassigned Medicare billing, New York enrollment
  • 80 clinicians in this Medicare group
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
Body Imaging
1220 HICKSVILLE RD
Seaford, NY 11783
  • Reassigned Medicare billing, New York enrollment
  • 391 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.

Areas of Expertise CMS Part B claims 38

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,330 services15 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
408 services336 patients
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml A9579
This is an MRI procedure where a gadolinium-based contrast agent is injected into your body. The agent enhances the images, making it easier to detect abnormalities. It's safe and side effects are rare. It's administered per milliliter as needed.
310 services19 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
232 services227 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
211 services209 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
143 services141 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Lenox Hill Hospital

Acute Care Hospitals · New York, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330119
Location100 East 77th StreetNew York, NY 10021 · New York County
Emergency services Birthing friendly

Ellis Hospital

Acute Care Hospitals · Schenectady, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330153
Location1101 Nott StreetSchenectady, NY 12308 · Schenectady County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
315 S MANNING BLVD
ALBANY, NY 12208
Emergency Response System Companies
315 S MANNING BLVD
ALBANY, NY 12208
Pharmacist
315 S MANNING BLVD
ALBANY, NY 12208
Pharmacist
315 S MANNING BLVD
ALBANY, NY 12208
Physician Assistant
315 S MANNING BLVD
ALBANY, NY 12208
Hospitalist
315 S MANNING BLVD
ALBANY, NY 12208
Radiology (Diagnostic Radiology)
315 S MANNING BLVD
ALBANY, NY 12208
Physician Assistant
315 S MANNING BLVD
ALBANY, NY 12208

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 Sofia Danilova's NPI number?

The NPI number for Sofia Danilova is 1376907261. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is Sofia Danilova located?

Sofia Danilova practices at 315 S Manning Blvd, Albany, NY 12208. The listed phone number is (518) 525-1401.

What is Sofia Danilova's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Sofia Danilova enrolled in Medicare?

Yes. Sofia Danilova 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 Sofia Danilova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sofia Danilova reassigns Medicare benefits to 4 organizations: St. Peter's Health Partners Medical Associates, P.C. (Albany, NY), Ellis Hospital (Schenectady, NY), North Shore-Lij Medical PC (Great Neck, NY) and Southside Faculty Medical Affiliates University Faculty Practice Corp (Seaford, NY). 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 Sofia Danilova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sofia Danilova affiliated with any hospitals?

According to CMS data, Sofia Danilova is affiliated with St Peter's Hospital, North Shore University Hospital, Lenox Hill Hospital, Ellis Hospital and Samaritan Hospital Of Troy, New York.

When was this NPI record last updated?

The NPPES record for Sofia Danilova was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.