Individual provider Active NPI

Eric A Ragaza, M.D.

  • Diagnostic Radiology Physician
  • Milford, CT
National Provider Identifier
1104841584
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
039879 Issued in CT
Practice address
30 Commerce Park
Milford, CT 06460-3551
Phone
(203) 878-2341
Fax
(203) 878-3429
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 039879 CT Primary

Addresses

Primary practice location

30 Commerce Park
Milford, CT 06460-3551

Mailing address

30 Commerce Park
Milford, CT 06460-3551
Phone (203) 878-2341

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
I20041229000923 CT Practitioner - Diagnostic Radiology 6103884630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Imaging of Milford PCGroup PAC ID 3173425717, 4 clinicians

Practice addresses (Care Compare)

30 Commerce Park
Milford, CT 06460-3551
Phone (203) 878-2341

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 Medicine

State licenses

LicenseStateTypeSpecialty
039879CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Imaging of Milford, PC Diagnostic Radiology CurrentSince Dec 1, 2004 Accepting new patients
Diagnostic Imaging of Milford, PC CurrentSince Dec 1, 2004 Accepting new patients

Locations

30 Commerce Park
Milford, CT 06460
Phone (203) 878-0479

Organizations & group practices 2

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104841584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 COMMERCE PARK",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603551",
            "telephone_number": "203-878-2341",
            "fax_number": "203-878-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 COMMERCE PARK",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603551",
            "telephone_number": "203-878-2341",
            "fax_number": "203-878-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGAZA",
        "first_name": "ERIC",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "039879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.