Individual provider Active NPI

Ronald J. Rosenberg, M.D.

  • Nuclear Medicine Physician
  • Hartford, CT
National Provider Identifier
1043296304
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
020516 Issued in CT
Practice address
85 Seymour St
Suite 200
Hartford, CT 06106-5501
Phone
(860) 289-3375
Fax
(860) 560-2849
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 246260 MA
Nuclear Medicine Physician 207U00000X 020516 CT Primary

Addresses

Primary practice location

85 Seymour St
Suite 200
Hartford, CT 06106-5501

Mailing address

111 Founders PLZ
Suite 400
East Hartford, CT 06108-3212
Phone (860) 289-3375

Other identifiers 3

IdentifierTypeStateIssuer
A2516306OtherCTOXFORD
010020516CT01OtherCTANTHEM BC/BS
001205162MedicaidCT

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
I20051014000340 CT Practitioner - Nuclear MedicinePractitioner - Internal MedicinePractitioner - Diagnostic RadiologyPractitioner - Endocrinology 0840194668 Reassigns benefits to 4 organizations
I20110729000599 MA Practitioner - Nuclear Medicine 0840194668 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nuclear MedicineAlso: Endocrinology, Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Imaging Partners LLCGroup PAC ID 4183649098, 105 clinicians
Jefferson Radiology PCGroup PAC ID 8729982525, 121 clinicians
Tic LLCGroup PAC ID 4880972819, 52 clinicians

Practice addresses (Care Compare)

100 Simsbury Rd
Avon, CT 06001-3793
Phone (860) 289-3375

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

130 Division St
Derby, CT 06418-1326
Phone (203) 735-7421

2600 Tamarack Ave
Suite 100
South Windsor, CT 06074-5560
Phone (860) 289-3375

320 Pomfret St
Putnam, CT 06260-1836
Phone (860) 928-6541

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

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

704 Hebron Ave
Suite 100
Glastonbury, CT 06033-5020
Phone (860) 289-3375

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020516CTMDNuclear Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Farmington Imaging Center, LLC Nuclear Medicine CurrentSince Oct 3, 2016 Accepting new patients
Tic, LLC CurrentSince Sep 1, 2016 Accepting new patients
Connecticut Imaging Partners, LLC Nuclear Medicine CurrentSince Feb 7, 2010 Accepting new patients

Locations

100 Simsbury Rd
Ste 101
Avon, CT 06001
Phone (860) 678-8527

6 Northwestern Dr
Ste 102
Bloomfield, CT 06002

100 Hazard Ave
Ste 100
Enfield, CT 06082
Phone (860) 696-2380

399 Farmington Ave
Lowr 1
Farmington, CT 06032

704 Hebron Ave
Ste 100
Glastonbury, CT 06033
Phone (860) 659-9595

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

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

85 Seymour St
Hartford, CT 06106
Phone (860) 246-4029

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

941 Farmington Ave
West Hartford, CT 06107
Phone (860) 231-1900

1260 Silas Deane Hwy
Ste 100
Wethersfield, CT 06109
Phone 860289337587099

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

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

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

Interoperability endpoints

  • Direct secure messaging: ronald.rosenberg@xdr.hhchealthdirect.org

Organizations & group practices 4

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 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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1043296304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FOUNDERS PLZ",
            "address_2": "SUITE 400",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083212",
            "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",
            "address_2": "SUITE 200",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065501",
            "telephone_number": "860-289-3375",
            "fax_number": "860-560-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "RONALD",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "MA",
            "license": "246260",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "CT",
            "license": "020516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "A2516306",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "010020516CT01",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001205162",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.