Individual provider Active NPI

Gregory Lee Wrubel, M.D.

  • Diagnostic Radiology Physician
  • Hartford, CT
National Provider Identifier
1265738496
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
047418 Issued in CT
Practice address
85 Seymour St Ste 200
Hartford, CT 06106-5509
Phone
(860) 246-6589
NPI assigned
Feb 5, 2011
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 249459 MA
Diagnostic Radiology Physician 2085R0202X 047418 CT Primary

Addresses

Primary practice location

85 Seymour St Ste 200
Hartford, CT 06106-5509

Mailing address

111 Founders PLZ
Suite 400
East Hartford, CT 06108-3212
Phone (860) 289-3375

Other practice location 1

111 Founders Plz
Suite 400
East Hartford, CT 06108-3212
Phone (860) 289-3375

Other identifiers 1

IdentifierTypeStateIssuer
1265738496MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA, FL, KY4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20110719000562 CT Practitioner - Diagnostic Radiology 3971771924 Reassigns benefits to 2 organizations
I20110902000415 MA Practitioner - Diagnostic Radiology 3971771924 Reassigns benefits to 5 organizations
I20240920001212 FL Practitioner - Diagnostic Radiology 3971771924 Reassigns benefits to 2 organizations
I20241220003260 KY Practitioner - Diagnostic Radiology 3971771924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Connecticut School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Radiology Imaging at Lake Mary LLCGroup PAC ID 1254311137, 273 clinicians
Florida Hospital Medical Group IncGroup PAC ID 0042383200, 329 clinicians

Practice addresses (Care Compare)

1480 W Orange Blossom TRL
Adventhealth Imaging Apopka
Apopka, FL 32712-2637
Phone (407) 200-5440

1551 Future Way
Adventhealth Imaging
Celebration, FL 34747-4489
Phone (407) 303-4041

1919 E Hwy 50 101
Adventhealth Imaging Center Clermon
Clermont, FL 34711-1975
Phone (352) 717-3738

210 Marie Langdon Dr
Manchester, KY 40962-6388
Phone (606) 598-5104

2200 Fowler Grove Blvd
Suite 60
Winter Garden, FL 34787-5597
Phone (407) 200-0538

235 E Princeton St
Suite 100
Orlando, FL 32804-5554
Phone (407) 303-1414

2488 E Irlo Bronson Memorial Hwy
Ahi Partin Settlement
Kissimmee, FL 34744-4948
Phone (407) 200-5440

25 S Terry Ave
Suite 220
Orlando, FL 32805-1843
Phone (407) 641-2446

4 Gilbert LN
South Windsor, CT 06074-3635
Phone (407) 200-2355

60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Phone (386) 586-2000

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600

661 E Altamonte Dr
Suite 130
Altamonte Springs, FL 32701-5102
Phone (407) 303-2155

900 Winderley PL
Suite 1100
Maitland, FL 32751-7229
Phone (407) 200-2355

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Adventhealth Waterman Hospital, Tavares, FL, CCN 100057
  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072
  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
047418CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Radiology Imaging at Lake Mary, LLC Diagnostic Radiology CurrentSince Oct 7, 2024 Accepting new patients
Florida Hospital Medical Group Inc Diagnostic Radiology CurrentSince Oct 7, 2024 Accepting new patients
Chelmsford MRI, P.C. Diagnostic Radiology CurrentSince Feb 26, 2020 Accepting new patients
Compass Medical PC CurrentSince Apr 4, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 1, 2020 Accepting new patients
Compass Medical PC CurrentSince Apr 4, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 1, 2020 Accepting new patients
Chelmsford MRI, P.C. Diagnostic Radiology CurrentSince Feb 26, 2020 Accepting new patients

Locations

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

900 Winderley Pl
Ste 1100
Maitland, FL 32751
Phone (407) 200-1606

235 E Princeton St
Ste 100
Orlando, FL 32804
Phone (407) 303-1414

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

200 Providence Hwy
Ste 210
Dedham, MA 02026
Phone (781) 329-0600

1 Donalds Way
Ste 105
East Bridgewater, MA 02333
Phone (508) 350-2200

1 Donalds Way
Ste 102
East Bridgewtr, MA 02333
Phone (508) 350-2100

8 Commerce Blvd
Middleboro, MA 02346
Phone (774) 260-9300

54 Miller St
Ste 200
Quincy, MA 02169
Phone (617) 481-3200

54 Miller St
Ste 201
Quincy, MA 02169
Phone (617) 481-3100

3640 Main St
Ste 101
Springfield, MA 01107
Phone (413) 781-9000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: gregory.wrubel@xdr.hhchealthdirect.org
  • Direct secure messaging: gwrubel3956007@adventhealth.direct-ci.com

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 8

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": "1296864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265738496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FOUNDERS PLZ",
            "address_2": "SUITE 400",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083212",
            "telephone_number": "860-289-3375",
            "fax_number": "860-783-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST STE 200",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065509",
            "telephone_number": "860-246-6589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Founders Plz",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "East Hartford",
            "state": "CT",
            "postal_code": "061083212",
            "country_code": "US",
            "telephone_number": "860-289-3375",
            "fax_number": "860-783-5733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRUBEL",
        "first_name": "GREGORY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "249459",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "047418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265738496",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.