Individual provider Active NPI

Pallavi Nadendla, M.D.

  • Vascular & Interventional Radiology Physician
  • Hartford, CT
National Provider Identifier
1033553508
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
62490 Issued in CT
Practice address
80 Seymour St
Hartford, CT 06102-8000
Phone
(860) 289-3375
Fax
(860) 290-4108
NPI assigned
Apr 26, 2013
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 279285 MA
Diagnostic Radiology Physician 2085R0202X 62490 CT
Vascular & Interventional Radiology Physician 2085R0204X 62490 CT Primary

Addresses

Primary practice location

80 Seymour St
Hartford, CT 06102-8000

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 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
I20191001000504 CT Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 0042540254 Reassigns benefits to 4 organizations
I20191001002212 MA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 0042540254 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Connecticut Imaging Partners LLCGroup PAC ID 4183649098, 105 clinicians
Tic LLCGroup PAC ID 4880972819, 52 clinicians
Jefferson Radiology PCGroup PAC ID 8729982525, 121 clinicians

Practice addresses (Care Compare)

1260 Silas Deane Hwy
Suite 104
Wethersfield, CT 06109-4363

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

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

6 Fieldstone CMNS
Suite E
Tolland, CT 06084-3419
Phone (860) 896-4848

7 Lexington Cir
Southwick, MA 01077-9811
Phone (860) 289-3375

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010167GAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Farmington Imaging Center, LLC Vascular & Interventional Radiology CurrentSince Sep 1, 2019 Accepting new patients
Chelmsford MRI, P.C. CurrentSince Mar 15, 2020 Accepting new patients
Tic, LLC CurrentSince Dec 5, 2020 Accepting new patients
Connecticut Imaging Partners, LLC Vascular & Interventional Radiology CurrentSince Sep 1, 2019 Accepting new patients
Holyoke Medical Center, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Chelmsford MRI, P.C. CurrentSince Mar 15, 2020 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 100
Wethersfield, CT 06109
Phone 860289337587099

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

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

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

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1033553508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 SILAS DEANE HWY STE 104",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094363",
            "telephone_number": "860-289-3375",
            "fax_number": "860-290-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061028000",
            "telephone_number": "860-289-3375",
            "fax_number": "860-290-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADENDLA",
        "first_name": "PALLAVI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-26",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "279285",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "62490",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CT",
            "license": "62490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.