Active NPI
Tiffany Lynn Dube, M.D. PH.D..
- Diagnostic Radiology Physician
- Naugatuck, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 52092
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52092 | CT | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dean Health Systems, Inc | Current | Accepting new patients | |
| Radiology Associates of Hartford PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Eastpointe Radiologists, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of the Fox Valley, SC | Diagnostic Radiology | Current | Accepting new patients |
| Rocky Hill Imaging Center, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Dean Health Systems, Inc. | Current | 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
- 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.
-
- Diagnostic Radiology Physician
- Hartford, CT
- NPI 1942234893
-
- Diagnostic Radiology Physician
- Rocky Hill, CT
- NPI 1184291023
-
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
-
- Diagnostic Radiology Physician
- Neenah, WI
- NPI 1477539443
CT
-
- Durable Medical Equipment & Medical Supplies
- Portage, WI
- NPI 1427085679
-
- Diagnostic Radiology Physician
- Grosse Pointe Woods, MI
- NPI 1558409649
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.