Individual provider Active NPI

William B. Zucconi, D.O.

  • Neuroradiology Physician
  • Lebanon, NH
National Provider Identifier
1013128057
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
23493 Issued in NH
Practice address
1 Medical Center Dr
Lebanon, NH 03756-1000
Phone
(603) 650-5000
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 045406 CT
Diagnostic Radiology Physician 2085R0202X 045406 CT
Neuroradiology Physician 2085N0700X 23493 NH Primary

Addresses

Primary practice location

1 Medical Center Dr
Lebanon, NH 03756-1000

Mailing address

PO Box 8416
New Haven, CT 06530-0416
Phone (203) 777-6209

Other practice location 1

1450 Chapel St
New Haven, CT 06511-4405
Phone (203) 789-3124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070619000390 CT Practitioner - Diagnostic Radiology 3072612944 Reassigns benefits to 5 organizations
I20230217001463 NH Practitioner - Diagnostic Radiology 3072612944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, 1,445 clinicians
Mary Hitchcock Memorial HospitalGroup PAC ID 4486561164, shared by 6 NPIs, 1,269 clinicians

Practice addresses (Care Compare)

Madison, CT 06443
Phone (603) 650-5000

1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

253 Pleasant St
Concord, NH 03301-7560
Phone (603) 226-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
71.76 of 100Reported as group
Quality
59.41
Promoting interoperability
100
Improvement activities
40
Cost
46.46

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23493NHMDNeuroradiology Physician
045406CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital CurrentSince Feb 25, 2024 Accepting new patients
Dartmouth-Hitchcock Clinic Diagnostic Radiology CurrentSince Jan 9, 2023 Accepting new patients
Yale University CurrentSince Aug 22, 2013 Accepting new patients
Mary Hitchcock Memorial Hospital Current Accepting new patients
Yale University CurrentSince Jan 7, 2019 Accepting new patients
Yale University Diagnostic Radiology CurrentSince Aug 22, 2013 Accepting new patients
Orthopaedic Specialty Group, P.C. Diagnostic Radiology CurrentSince Aug 7, 2017 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Jan 9, 2023 Accepting new patients
Mary Hitchcock Memorial Hospital Diagnostic Radiology CurrentSince Feb 25, 2024 Accepting new patients
New Haven Radiology Associates, P.C. Diagnostic Radiology Past Accepting new patients
New Haven Radiology Associates PC Past Accepting new patients

Locations

350 Seymour Ave
Derby, CT 06418
Phone (203) 732-1260

305 Black Rock Tpke
Fairfield, CT 06825
Phone (203) 337-2600

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

55 Lock St
New Haven, CT 06511
Phone (203) 432-0076

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151

2909 Main St
Stratford, CT 06614
Phone (203) 377-5108

253 Pleasant St
Concord, NH 03301
Phone (603) 226-2200

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

Interoperability endpoints

  • Direct secure messaging: wzucconi502970@direct.dartmouth-hitchcock.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1013128057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8416",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065300416",
            "telephone_number": "203-777-6209",
            "fax_number": "203-787-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-650-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 Chapel St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065114405",
            "country_code": "US",
            "telephone_number": "203-789-3124",
            "fax_number": "203-789-4118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUCCONI",
        "first_name": "WILLIAM",
        "middle_name": "B.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CT",
            "license": "045406",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "045406",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NH",
            "license": "23493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.