Baktash Bootorabi, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Clifton Spgs, New York. He went to Hahnemann University College Of Medicine and graduated in 1994 and has 32 years of diverse experience with area of expertise as Diagnostic Radiology. His current practice location is
2 Coulter Rd, Clifton Spgs, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 462-9561.
Baktash Bootorabi is licensed to practice in New York (license number 225867-1) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1992758551.
Physician's Profile
| Full Name | Baktash Bootorabi |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 32 Years |
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| Location | 2 Coulter Rd, Clifton Spgs, New York |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Baktash Bootorabi attended and graduated from Hahnemann University College Of Medicine in 1994
NPI Data:
- NPI Number: 1992758551
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 01/09/2026
Medicare PECOS Information:
- PECOS PAC ID: 1456342401
- Enrollment ID: I20040519001260
Medical Identifiers
Medical identifiers for Baktash Bootorabi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992758551 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | 225867-1 (New York) | Primary |
Medical Facilities Affiliation
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Baktash Bootorabi allows following entities to bill medicare on his behalf.
| Entity Name | Olean Medical Group Partnership |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689669541
PECOS PAC ID: 1951203850
Enrollment ID: O20040122000168 |
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| Entity Name | Ontario Radiology Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467735084
PECOS PAC ID: 3476726506
Enrollment ID: O20111104000298 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Baktash Bootorabi is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Baktash Bootorabi, MD
300 International Dr Ste 200,
Williamsville, NY 14221-5783
Ph: (716) 689-1901 | Baktash Bootorabi, MD
2 Coulter Rd,
Clifton Spgs, NY 14432-1122
Ph: (315) 462-9561 |
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