Individual provider Active NPI

Halley Marisa Hindman, D.O.

  • Diagnostic Radiology Physician
  • Greenwich, CT
National Provider Identifier
1063807592
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
306136 Issued in NY
Practice address
5 Perryridge Rd
Greenwich, CT 06830-4608
Phone
(203) 863-3409
NPI assigned
Apr 1, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 306136 NY Primary

Addresses

Primary practice location

5 Perryridge Rd
Greenwich, CT 06830-4608

Mailing address

59 Hillcrest Park Rd
Old Greenwich, CT 06870-1019
Phone (203) 249-3139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 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
I20210125000693 CT Practitioner - Diagnostic Radiology 8123432614
I20210907002889 NY Practitioner - Diagnostic Radiology 8123432614 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Diagnostic Radiology CurrentSince Aug 1, 2021 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
Osu Radiology LLC Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Aug 1, 2021 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jun 27, 2023 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Jun 27, 2023 Accepting new patients
Empire State Radiology P C Diagnostic Radiology Past Accepting new patients

Locations

34 Maple St
Norwalk, CT 06850
Phone (203) 852-2000

1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925

111 E 210th St
Bronx, NY 10467

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

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.

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1063807592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 HILLCREST PARK RD",
            "city": "OLD GREENWICH",
            "state": "CT",
            "postal_code": "068701019",
            "telephone_number": "203-249-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PERRYRIDGE RD",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304608",
            "telephone_number": "203-863-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINDMAN",
        "first_name": "HALLEY",
        "middle_name": "MARISA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "306136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.