Individual provider Active NPI

Mrinal S Mali, M.D.

  • Diagnostic Radiology Physician
  • Hartford, CT
National Provider Identifier
1023055720
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
51463 Issued in CT
Practice address
85 Seymour St Ste 200
Hartford, CT 06106-5509
Phone
(860) 246-6589
Fax
(860) 560-2849
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 82118 MA
Diagnostic Radiology Physician 2085R0202X 51463 CT Primary

Addresses

Primary practice location

85 Seymour St Ste 200
Hartford, CT 06106-5509

Mailing address

111 Founders PLZ Ste 400
East Hartford, CT 06108-3240
Phone (860) 289-3375

Other practice location 1

575 Beech St
Holyoke Medical Center
Holyoke, MA 01040
Phone (413) 534-2523

Other practice location 2

575 Beech St
Holyoke Medical Center
Holyoke, MA 01040
Phone (413) 534-2523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 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
I20040517001204 MA Practitioner - Diagnostic Radiology 7911997325 Reassigns benefits to 12 organizations
I20121210000044 CT Practitioner - Diagnostic Radiology 7911997325 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Imaging Partners LLCGroup PAC ID 4183649098, 105 clinicians
Riverbend Medical Group IncGroup PAC ID 5698064343, 227 clinicians
Jefferson Radiology PCGroup PAC ID 8729982525, 121 clinicians
Holyoke Medical Center IncGroup PAC ID 2163419383, 202 clinicians

Practice addresses (Care Compare)

1260 Silas Deane Hwy
Suite 104
Wethersfield, CT 06109-4363
Phone (860) 289-3375

1260 Silas Deane Hwy 100
Wethersfield, CT 06109-4363
Phone 860289337587099

26 Whispering LN
Natick, MA 01760-5883
Phone (860) 289-3375

271 Carew St
Springfield, MA 01104-2377
Phone (413) 748-9000

286 Millbrook Dr
East Longmeadow, MA 01028-2675
Phone (860) 289-3375

3640 Main St
Suite 103
Springfield, MA 01107-1139
Phone (413) 785-5321

399 Farmington Ave
Farmington, CT 06032-1936
Phone (860) 289-3375

50 Gaylord Farm Rd
Wallingford, CT 06492-2828
Phone (203) 284-2800

575 Beech St
Holyoke, MA 01040-2223
Phone (413) 534-2546

71 Haynes St
Manchester, CT 06040-4131
Phone (860) 289-3375

85 Seymour St
Suite 200
Hartford, CT 06106-5509
Phone (860) 289-3375

941 Farmington Ave
West Hartford, CT 06107-2203
Phone (860) 289-3375

Hospital & facility affiliations

  • Holyoke Medical Center Hospital, Holyoke, MA, CCN 220024
  • Mercy Medical Ctr Hospital, Springfield, MA, CCN 220066
  • Manchester Memorial Hospital Hospital, Manchester, CT, CCN 070027
  • Hartford Hospital Hospital, Hartford, CT, CCN 070025
  • Griffin Hospital Hospital, Derby, CT, CCN 070031

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51463CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Medical PC CurrentSince Apr 4, 2022 Accepting new patients
Farmington Imaging Center, LLC Diagnostic Radiology CurrentSince Oct 3, 2016 Accepting new patients
Riverbend Medical Group, Inc CurrentSince May 4, 2024 Accepting new patients
Providence Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince May 13, 2024 Accepting new patients
Chelmsford MRI, P.C. Diagnostic Radiology CurrentSince Feb 26, 2020 Accepting new patients
Riverbend Medical Group, Inc. Diagnostic Radiology CurrentSince May 4, 2024 Accepting new patients
Holyoke Medical Center, Inc. CurrentSince Jun 21, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 1, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 1, 2020 Accepting new patients
Compass Medical PC CurrentSince Apr 4, 2022 Accepting new patients
Jefferson Radiology, PC Diagnostic Radiology CurrentSince Dec 1, 2012 Accepting new patients
Connecticut Imaging Partners, LLC Diagnostic Radiology CurrentSince Dec 1, 2012 Accepting new patients
Tic, LLC Diagnostic Radiology CurrentSince Sep 1, 2016 Accepting new patients
Western Mass Physician Associates Inc CurrentSince Jan 17, 2025 Accepting new patients
Western Mass Physician Associates Inc CurrentSince Jan 17, 2025 Accepting new patients
Chelmsford MRI, P.C. Diagnostic Radiology CurrentSince Feb 26, 2020 Accepting new patients
Holyoke Medical Center, Inc. Past Accepting new patients
Baystate Medical Practices, Inc Past Accepting new patients
Baystate Affiliated Practice Organization Past Accepting new patients

Locations

399 Farmington Ave
Lowr 1
Farmington, CT 06032

111 Founders Plz
Ste 400
Hartford, CT 06108
Phone (860) 291-6554

85 Seymour St
Ste 200
Hartford, CT 06106
Phone (860) 246-6589

6 Fieldstone Cmns
Ste E
Tolland, CT 06084
Phone (860) 896-4847

1260 Silas Deane Hwy
Ste 104
Wethersfield, CT 06109
Phone (860) 563-7844

200 Providence Hwy
Ste 210
Dedham, MA 02026
Phone (781) 329-0600

1 Donalds Way
Ste 105
East Bridgewater, MA 02333
Phone (508) 350-2200

1 Donalds Way
Ste 102
East Bridgewtr, MA 02333
Phone (508) 350-2100

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

575 Beech St
Ste 402
Holyoke, MA 01040
Phone (413) 534-2820

15 Hospital Dr
Ste 50
Holyoke, MA 01040
Phone (413) 534-2826

10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830

291 Moody St
Ludlow, MA 01056
Phone (800) 688-6663

8 Commerce Blvd
Middleboro, MA 02346
Phone (774) 260-9300

54 Miller St
Ste 201
Quincy, MA 02169
Phone (617) 481-3100

54 Miller St
Ste 200
Quincy, MA 02169
Phone (617) 481-3200

3640 Main St
Ste 101
Springfield, MA 01107
Phone (413) 781-9000

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

115 W Silver St
Westfield, MA 01085
Phone (413) 562-3444

Interoperability endpoints

  • Direct secure messaging: mrinal.mali@xdr.hhchealthdirect.org
  • Direct secure messaging: mmali3351169@direct.trinity-health.org
  • FHIR API: https://app.meldrx.com/api/fhir/ei-jefferson

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1023055720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FOUNDERS PLZ STE 400",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083240",
            "telephone_number": "860-289-3375",
            "fax_number": "860-783-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST STE 200",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065509",
            "telephone_number": "860-246-6589",
            "fax_number": "860-560-2849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 Beech St",
            "address_2": "Holyoke Medical Center",
            "address_purpose": "LOCATION",
            "city": "Holyoke",
            "state": "MA",
            "postal_code": "01040",
            "country_code": "US",
            "telephone_number": "413-534-2523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "575 Beech St",
            "address_2": "Holyoke Medical Center",
            "address_purpose": "LOCATION",
            "city": "Holyoke",
            "state": "MA",
            "postal_code": "01040",
            "country_code": "US",
            "telephone_number": "413-534-2523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALI",
        "first_name": "MRINAL",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "82118",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "51463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.