Individual provider Active NPI

Michael D Hollander, MD

  • Diagnostic Radiology Physician
  • Danbury, CT
National Provider Identifier
1164466744
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
55264 Issued in CT
Practice address
2 Riverview Dr
Danbury, CT 06810-6268
Phone
(203) 426-3002
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101230387 VA
Diagnostic Radiology Physician 2085R0202X 55264 CT Primary

Addresses

Primary practice location

2 Riverview Dr
Danbury, CT 06810-6268

Mailing address

105 Newtown Rd Ste C
Danbury, CT 06810-4114
Phone (203) 748-0834

Other practice location 1

1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 981-7553

Other practice location 2

1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 981-7553

Other identifiers 1

IdentifierTypeStateIssuer
007234694MedicaidVA

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
I20160804002617 CT Practitioner - Diagnostic Radiology 5294639522 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Georgetown University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

112 Roseville Rd
Westport, CT 06880-2609
Phone (800) 229-2273

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55264CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Connecticut Health Network Affiliates, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Advanced Imaging Specialists, LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Danbury Radiological Associates, PC Diagnostic Radiology CurrentSince Aug 1, 2016 Accepting new patients
Radiology & Imaging Specialists of Lakeland Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Western Connecticut Health Network Affiliates, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Specialty Imaging Associates, LLC Diagnostic Radiology CurrentSince Aug 1, 2016 Accepting new patients
Jefferson University Physicians Diagnostic Radiology Past Accepting new patients
Roanoke Imaging LLC Diagnostic Radiology Past Accepting new patients
Imaging Professionals of Pennsylvania PC Diagnostic Radiology Past Accepting new patients

Locations

2 Riverview Dr
Ste 104
Danbury, CT 06810
Phone (203) 739-7532

105 Newtown Rd
Ste C
Danbury, CT 06810
Phone (203) 791-9011

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

153 S Main St
Newtown, CT 06470
Phone (203) 270-1077

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

2250 Osprey Blvd
Ste 100
Bartow, FL 33830
Phone (863) 533-7151

2200 Osprey Blvd
Bartow, FL 33830
Phone (863) 519-1402

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

250 2nd St E
Bradenton, FL 34208
Phone (941) 708-8152

3016 Dyer Blvd
Kissimmee, FL 34741
Phone (941) 782-9456

2400 Kathleen Rd
Lakeland, FL 33810
Phone (863) 687-1222

1417 Lakeland Hills Blvd
Ste 102
Lakeland, FL 33805
Phone (863) 577-0316

1305 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 577-0251

2135 Harden Blvd
Lakeland, FL 33803
Phone (863) 687-1250

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

3221 S Florida Ave
Ste B
Lakeland, FL 33803
Phone (863) 577-0296

130 Pablo St
Lakeland, FL 33803
Phone (863) 284-5064

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

3221 S Florida Ave
Ste A
Lakeland, FL 33803
Phone (863) 577-8596

2120 Lakeland Hills Blvd
Lakeland, FL 33805
Phone 8636882334117

16504 US 301 S
Wimauma, FL 33598
Phone (813) 642-1000

17430 Bali Blvd
Winter Garden, FL 34787
Phone (863) 419-2496

101 Avenue O SE
Winter Haven, FL 33880
Phone (863) 294-7010

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 9

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 9

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1164466744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NEWTOWN RD STE C",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104114",
            "telephone_number": "203-748-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 RIVERVIEW DR",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106268",
            "telephone_number": "203-426-3002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Electric Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241537474",
            "country_code": "US",
            "telephone_number": "540-981-7553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Electric Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241537474",
            "country_code": "US",
            "telephone_number": "540-981-7553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLANDER",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101230387",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "55264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007234694",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.