Individual provider Active NPI

Wanda M Kirejczyk, MD

  • Diagnostic Radiology Physician
  • New Britain, CT
National Provider Identifier
1023095478
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
033864 Issued in CT
Practice address
100 Grand St
New Britain, CT 06052-2016
Phone
(860) 225-5556
NPI assigned
Dec 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 033864 CT Primary

Addresses

Primary practice location

100 Grand St
New Britain, CT 06052-2016

Mailing address

1 Liberty SQ
P.O. Box 217
New Britain, CT 06051-2636
Phone (860) 827-0071

Other identifiers 1

IdentifierTypeStateIssuer
001338640MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110107000054 CT Practitioner - Diagnostic Radiology 9133016090 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Boston University School of Medicine, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Midstate Radiology Associates LLCGroup PAC ID 4880593565, 89 clinicians
Starling Physicians, PLLCGroup PAC ID 7517863749, 276 clinicians
Vein Centers, LLCGroup PAC ID 6800124801, 6 clinicians
Meriden Imaging Center IncGroup PAC ID 4385683556, 56 clinicians

Practice addresses (Care Compare)

100 Grand St
New Britain, CT 06052-2016
Phone (203) 949-2700

100 Simsbury Rd
Avon, CT 06001-3793
Phone (860) 258-3480

111 Salem Tpke
Norwich, CT 06360-7403
Phone (203) 949-2700

1260 Silas Deane Hwy
Wethersfield, CT 06109-4362
Phone (860) 832-4666

201 N Mountain Rd
Plainville, CT 06062-1848
Phone (203) 949-2700

22 Pine St
Bristol, CT 06010-6948
Phone (844) 868-1001

326 Washington St
Norwich, CT 06360-2740
Phone (203) 949-2700

435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 949-2700

5 Founders St
Willimantic, CT 06226-2048
Phone (844) 868-1001

81 Meriden Ave
Southington, CT 06489-3268
Phone (203) 949-2700

863 N Main St Ext
Wallingford, CT 06492-2434

Hospital & facility affiliations

  • William W Backus Hospital Hospital, Norwich, CT, CCN 070024
  • The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035
  • Midstate Medical Center Hospital, Meriden, CT, CCN 070017
  • Windham Community Memorial Hospital Hospital, Willimantic, CT, CCN 070021
  • Griffin Hospital Hospital, Derby, CT, CCN 070031

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
82.26
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.37 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
033864CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vein Centers, LLC Diagnostic Radiology CurrentSince Sep 1, 2019 Accepting new patients
Diagnostic Imaging Services of CT, LLC Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
Midstate Radiology Associates, LLC Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
Starling Physicians PLLC CurrentSince Jan 1, 2016 Accepting new patients
Starling Physicians, PLLC CurrentSince Jan 1, 2016 Accepting new patients
Meriden Imaging Center, Inc. Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

22 Pine St
Bristol, CT 06010
Phone (860) 229-8346

22 Pine St
Ste 210
Bristol, CT 06010
Phone (860) 940-4838

680 S Main St
Cheshire, CT 06410
Phone (203) 272-3595

160 Hazard Ave
Enfield, CT 06082
Phone (860) 253-5330

100 Retreat Ave
Ste 100
Hartford, CT 06106
Phone (860) 545-9050

300 Kensington Ave
New Britain, CT 06051
Phone (860) 224-6200

300 Kensington Ave
Ste 1
New Britain, CT 06051

1 Liberty Sq
New Britain, CT 06051
Phone (860) 229-2807

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

505 Willard Ave
Newington, CT 06111
Phone (860) 224-6709

1 Towne Park Plz
Norwich, CT 06360
Phone (860) 886-1433

863 N Main Street Ext
Wallingford, CT 06492

101 N Plains Rd
Wallingford, CT 06492
Phone (203) 265-0018

Interoperability endpoints

  • Direct secure messaging: wanda.kirejczyk@xdr.hhchealthdirect.org

Organizations & group practices 7

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 9

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1023095478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LIBERTY SQ",
            "address_2": "P.O. BOX 217",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060512636",
            "telephone_number": "860-827-0071",
            "fax_number": "860-229-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GRAND ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060522016",
            "telephone_number": "860-225-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIREJCZYK",
        "first_name": "WANDA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "033864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001338640",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.