Individual provider Active NPI

Mitesh Trivedi, M.D.

  • Diagnostic Radiology Physician
  • New Haven, CT
National Provider Identifier
1306045596
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
050778 Issued in CT
Practice address
333 Cedar St # Te-2
New Haven, CT 06510-3206
Phone
(203) 785-5253
NPI assigned
Jul 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X C7-0004007 DE
Diagnostic Radiology Physician 2085R0202X C1-0009080 DE
Diagnostic Radiology Physician 2085R0202X 050778 CT Primary
Student in an Organized Health Care Education/Training Program 390200000X MT191109 PA

Addresses

Primary practice location

333 Cedar St # Te-2
New Haven, CT 06510-3206

Mailing address

101 N Plains Industrial Rd
Wallingford, CT 06492-2360
Phone (203) 949-2700

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
I20120824000242 CT Practitioner - Diagnostic Radiology 1557518651 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Boston University School of Medicine, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Diagnostic Imaging Services of CT LLCGroup PAC ID 3577465111, 18 clinicians
Midstate Radiology Associates LLCGroup PAC ID 4880593565, 89 clinicians
Starling Physicians, PLLCGroup PAC ID 7517863749, 276 clinicians
Meriden Imaging Center IncGroup PAC ID 4385683556, 56 clinicians

Practice addresses (Care Compare)

1 Towne Park PLZ
Norwich, CT 06360-2247
Phone (203) 949-2700

100 Grand St
New Britain, CT 06052-2016
Phone (203) 949-2700

375 Willard Ave
Newington, CT 06111-2300
Phone (860) 258-3480

863 N Main St Ext
Wallingford, CT 06492-2434

Hospital & facility affiliations

  • William W Backus Hospital Hospital, Norwich, CT, CCN 070024
  • The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035
  • Windham Community Memorial Hospital Hospital, Willimantic, CT, CCN 070021
  • Midstate Medical Center Hospital, Meriden, CT, CCN 070017
  • Hartford Hospital Hospital, Hartford, CT, CCN 070025

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
82.26
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.37 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
050778CTMDDiagnostic Radiology Physician
C1-0009080DEMDDiagnostic Radiology Physician
C7-0004007DEMDDiagnostic Radiology Physician
MT191109PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Imaging Services of CT, LLC Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Midstate Radiology Associates, LLC Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Meriden Imaging Center, Inc. Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Starling Physicians PLLC CurrentSince Oct 1, 2024 Accepting new patients
Starling Physicians, PLLC CurrentSince Oct 1, 2024 Accepting new patients
Comprehensive Orthopedics & Musculoskeletal Care LLC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

680 S Main St
Cheshire, CT 06410
Phone (203) 272-3595

2200 Whitney Ave
Hamden, CT 06518
Phone (203) 281-3636

300 Kensington Ave
New Britain, CT 06051
Phone (860) 224-6200

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

375 Willard Ave
Newington, CT 06111
Phone (860) 666-5252

1 Towne Park Plz
Norwich, CT 06360
Phone (860) 886-1433

201 N Mountain Rd
Plainville, CT 06062
Phone (860) 224-5416

601 N Main St
Southington, CT 06489

863 N Main Street Ext
Wallingford, CT 06492

101 N Plains Rd
Wallingford, CT 06492
Phone (203) 265-0018

Interoperability endpoints

  • Direct secure messaging: mitesh.trivedi@xdr.hhchealthdirect.org

Organizations & group practices 6

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 10

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1306045596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N PLAINS INDUSTRIAL RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922360",
            "telephone_number": "203-949-2700",
            "fax_number": "203-949-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CEDAR ST # TE-2",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103206",
            "telephone_number": "203-785-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "MITESH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C7-0004007",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0009080",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "050778",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT191109",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.