Individual provider Active NPI

Tiffany Lynn Dube, M.D. PH.D..

  • Diagnostic Radiology Physician
  • Naugatuck, CT
National Provider Identifier
1225285950
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
52092 Issued in CT
Practice address
549 May St
Naugatuck, CT 06770-3341
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Aug 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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 52092 CT Primary

Addresses

Primary practice location

549 May St
Naugatuck, CT 06770-3341

Mailing address

11995 Singletree LN
Suite 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, WI2 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
I20140715000249 CT Practitioner - Diagnostic Radiology 1355566050 Reassigns benefits to 4 organizations
I20241213002806 WI Practitioner - Diagnostic Radiology 1355566050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Hartford PLLCGroup PAC ID 6002703246, 14 clinicians
Eastpointe Radiologists PCGroup PAC ID 7618876327, 112 clinicians
Rocky Hill Imaging Center LLCGroup PAC ID 5698163160, 13 clinicians

Practice addresses (Care Compare)

114 Woodland St
Hartford, CT 06105-1208
Phone (860) 969-6400

127 Nicole Dr
South Glastonbury, CT 06073-3632
Phone (586) 464-0731

28 Old Orchard Way
Tolland, CT 06084-2162
Phone (860) 969-6400

31 Sycamore St
Glastonbury, CT 06033-4540
Phone (860) 969-6400

35 Nod Rd
Avon, CT 06001-3826
Phone (860) 969-6400

476 Cromwell Ave
Rocky Hill, CT 06067-1806
Phone (860) 696-6400

673 Cottage Grove Rd
Bloomfield, CT 06002-3033
Phone (860) 964-6400

9 Cranbrook Blvd
Enfield, CT 06082-3889
Phone (860) 969-6400

Hospital & facility affiliations

  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52092CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Health Systems, Inc CurrentSince Nov 11, 2024 Accepting new patients
Radiology Associates of Hartford PLLC Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients
Eastpointe Radiologists, P.C. Diagnostic Radiology CurrentSince Aug 18, 2025 Accepting new patients
Radiology Associates of the Fox Valley, SC Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Rocky Hill Imaging Center, LLC Diagnostic Radiology CurrentSince Oct 1, 2021 Accepting new patients
Dean Health Systems, Inc. CurrentSince Nov 11, 2024 Accepting new patients
Eastpointe Radiologists, PC Diagnostic Radiology Past Accepting new patients

Locations

35 Nod Rd
Ste 101
Avon, CT 06001

673 Cottage Grove Rd
Bloomfield, CT 06002
Phone (860) 242-3000

148 Hazard Ave
Enfield, CT 06082
Phone (413) 567-6860

9 Cranbrook Blvd
Ste 102
Enfield, CT 06082

31 Sycamore St
Ste 102
Glastonbury, CT 06033
Phone (860) 714-8424

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

129 Woodland St
Hartford, CT 06105
Phone (860) 256-4774

1000 Asylum Ave
Ste 3201E
Hartford, CT 06105
Phone (860) 714-2724

476 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 696-6400

201 Chestnut Hill Rd
Stafford Springs, CT 06076
Phone (860) 265-6521

36750 26 Mile Rd
Chesterfield, MI 48047
Phone (586) 879-2000

51307 Gratiot Ave
Chesterfield, MI 48051
Phone (586) 741-3772

43900 Garfield Rd
Ste 222
Clinton Twp, MI 48038
Phone (586) 263-1234

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

17141 Kercheval Ave
Grosse Pointe, MI 48230
Phone (313) 642-4980

17700 23 Mile Rd
Macomb, MI 48044
Phone (586) 416-7500

46591 Romeo Plank Rd
Ste 220
Macomb, MI 48044
Phone (586) 226-6170

46591 Romeo Plank Rd
Macomb, MI 48044
Phone (586) 226-6269

13350 24 Mile Rd
Ste 200
Shelby Township, MI 48315
Phone (586) 566-7100

21000 E 12 Mile Rd
St Clr Shores, MI 48081
Phone (586) 447-5000

64580 Van Dyke Rd
Ste C
Washington Township, MI 48095
Phone (586) 752-9483

1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497

1211 Fish Hatchery Rd
Madison, WI 53715
Phone (608) 252-8000

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

Interoperability endpoints

  • Direct secure messaging: tdube524370@direct-ehr-ssmhc.com

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.

Hospital & facility affiliations 1

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": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1225285950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "SUITE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 MAY ST",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067703341",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBE",
        "first_name": "TIFFANY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D. PH.D..",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2014-06-20",
        "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": "CT",
            "license": "52092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naugatuck, CT

Sources for this page

Verify at the official NPI Registry.