UPSTATE RADIOLOGY, PC
NPI 1508241878
Specialist in Watertown, NY
About Upstate Radiology, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UPSTATE RADIOLOGY, PC (NPI 1508241878) is a healthcare organization registered as a specialist in Watertown, New York and active in the NPI registry since July 2015. The organization lists Glauco Michael Maresca, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Upstate Radiology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
23Medicare enrollment records show 23 clinicians reassign Medicare billing to Upstate Radiology, PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Nearest to this location (20)
See all 23Massena, NY 13662
Cortland, NY 13045
Warsaw, NY 14569
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Upstate Radiology, PC's NPI number?
The NPI number for Upstate Radiology, PC is 1508241878. It was assigned to this organization in the NPPES registry on July 28, 2015.
Where is Upstate Radiology, PC located?
Upstate Radiology, PC is located at 1116 Arsenal St Ste 504, Watertown, NY 13601. The listed phone number is (315) 782-2669.
What is Upstate Radiology, PC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Upstate Radiology, PC enrolled in Medicare?
Yes. Upstate Radiology, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Upstate Radiology, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Upstate Radiology, PC. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Upstate Radiology, PC was last updated on July 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Upstate Radiology, Pc · NPI 1508241878
Specialist organization in Watertown, New York. Organization record, active in the CMS NPPES registry since July 28, 2015.
## Identity
- **NPI:** 1508241878 (Entity type: Organization)
- **Enumerated:** July 28, 2015
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Glauco Maresca, OWNER
## Practice location
- **Address:** 1116 ARSENAL ST STE 504, Watertown, NY 13601-2229
- **Phone:** (315) 782-2669
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 23 clinicians (Diagnostic Radiology) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles; [full list](https://npiprofile.com/npi/1508241878/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 28, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1508241878) · Data from the CMS NPPES public registry.