NPIMap

Organization Active NPI

Radiologic Associates of Middletown PC

  • Diagnostic Radiology Physician
  • Middletown, CT
National Provider Identifier
1124137328
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGIC ASSOCIATES OF MIDDLETOWN PC
Practice address
57 S Main St
Middletown, CT 06457
Phone
(860) 346-8481
NPI assigned
Aug 30, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Kevin M Ordway
Title
Practice Administrator
Phone
(860) 346-8481

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners 66

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 66

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, TX, PA, OH, FL, NY, MI, IL, CA, NJ, MA, NC, RI, MT, VA, MO, SC17 enrollments

Enrollment records 17

Enrollment IDStateProvider typePAC IDDetails
O20050518000643 CT Part B Supplier - Clinic/Group Practice 5799765186 Receives reassigned benefits from 24 practitioners
Practice locations: Madison, CT; Marlborough, CT; Middletown, CT; New Haven, CT; South Glastonbury, CT; Southington, CT; Westbrook, CT; Essex, CT…
O20210217001844 TX Part B Supplier - Clinic/Group Practice 5799765186 Receives reassigned benefits from 8 practitioners
Practice locations: Dallas, TX; Frisco, TX; Lakehills, TX; Midland, TX; San Antonio, TX; Spring, TX
O20210302000136 PA Part B Supplier - Clinic/Group Practice 5799765186 Receives reassigned benefits from 2 practitioners
Practice locations: Clarks Summit, PA; Holland, PA
O20210302001524 OH Part B Supplier - Clinic/Group Practice 5799765186 Receives reassigned benefits from 1 practitioner
Practice locations: Beavercreek, OH
O20210304001863 FL Part B Supplier - Clinic/Group Practice 5799765186 Receives reassigned benefits from 4 practitioners
Practice locations: Port St Lucie, FL; Orlando, FL; Boca Raton, FL; Davie, FL
O20210316001133 NY Part B Supplier - Clinic/Group Practice 5799765186 Receives reassigned benefits from 1 practitioner
Practice locations: Saint James, NY; Howard Beach, NY
O20210325001501 MI Part B Supplier - Clinic/Group Practice 5799765186 Receives reassigned benefits from 1 practitioner
Practice locations: Novi, MI
O20210408000424 IL Part B Supplier - Clinic/Group Practice 5799765186 Receives reassigned benefits from 3 practitioners
Practice locations: South Barrington, IL; Lake Forest, IL; Chicago, IL
O20210421003030 CA Part B Supplier - Clinic/Group Practice 5799765186 Receives reassigned benefits from 4 practitioners
Practice locations: Claremont, CA; Exeter, CA; Oceanside, CA; Santa Monica, CA; Stockton, CA; Carlsbad, CA
O20211221000054 NJ Part B Supplier - Clinic/Group Practice 5799765186 Receives reassigned benefits from 1 practitioner
Practice locations: Monroe, NJ
O20220607000137 MA Part B Supplier - Clinic/Group Practice 5799765186 Receives reassigned benefits from 3 practitioners
Practice locations: Boston, MA; Hingham, MA; Orleans, MA
O20220608000102 NC Part B Supplier - Clinic/Group Practice 5799765186 Receives reassigned benefits from 2 practitioners
Practice locations: Sanford, NC; Winston Salem, NC
O20240715003940 RI Part B Supplier - Clinic/Group Practice 5799765186 Receives reassigned benefits from 1 practitioner
Practice locations: Westerly, RI
O20241111001930 MT Part B Supplier - Clinic/Group Practice 5799765186 Practice locations: Butte, MT
O20250320001972 VA Part B Supplier - Clinic/Group Practice 5799765186 Receives reassigned benefits from 1 practitioner
Practice locations: Chesapeake, VA
O20260115004091 MO Part B Supplier - Clinic/Group Practice 5799765186 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, MO
O20260224003138 SC Part B Supplier - Clinic/Group Practice 5799765186 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Pleasant, SC

National Provider Directory

National Provider Directory

Locations

80 S Main St
Ste 103
Middletown, CT 06457
Phone (860) 638-0050

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

NPPES NPI Registry

Primary practice location

57 S Main St
Middletown, CT 06457

Mailing address

57 S Main St
Middletown, CT 06457-3606
Phone (860) 346-8481

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 21, 2023.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1124137328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573606",
            "telephone_number": "860-346-8481",
            "fax_number": "860-346-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "06457",
            "telephone_number": "860-346-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGIC ASSOCIATES OF MIDDLETOWN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "ORDWAY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "860-346-8481",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.