Active NPI
Payam Sajedi, M.D.
- Diagnostic Radiology Physician
- East Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 59982
- Practice address
- 111 Founders PLZ Ste 400
East Hartford, CT 06108-3240 - Phone
- (860) 289-3375
- Fax
- (860) 783-5733
- NPI assigned
- Jun 20, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 59982 | CT | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | MT202291 | PA |
Addresses
Primary practice location
111 Founders PLZ Ste 400
East Hartford, CT 06108-3240
Mailing address
111 Founders PLZ Ste 400
East Hartford, CT 06108-3240
Phone (860) 289-3375
Other practice location 1
5501 Old York Rd
Philadelphia, PA 19141-3018
Phone (215) 456-4571
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) | |
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) | Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, GA, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Maryland School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Practice addresses (Care Compare)
10810 Connecticut Ave
Kensington, MD 20895-2138
Phone (301) 929-7100
12201 Plum Orchard Dr
Silver Spring, MD 20904-7803
Phone (301) 572-1000
1221 Mercantile LN
Largo, MD 20774-5374
Phone (301) 618-5700
14139 Potomac Mills Rd
Woodbridge, VA 22192-4644
Phone (703) 257-3000
1701 Twin Springs Rd
Halethorpe, MD 21227-3553
Phone (410) 737-5000
1890 Metro Ctr Dr
Reston, VA 20190-5286
Phone (703) 709-1500
2301 M St NW
Washington, DC 20037-1427
Phone (202) 419-6200
655 Watkins Mill Rd
Gaithersburg, MD 20879-3301
Phone (240) 632-4000
8008 Westpark Dr
MC Lean, VA 22102-3109
Phone (703) 287-6400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT202291 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
Locations
3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000
2400 Mount Zion Pkwy
Jonesboro, GA 30236
Phone (770) 603-3649
200 Providence Hwy
Ste 210
Dedham, MA 02026
Phone (781) 329-0600
3640 Main St
Ste 101
Springfield, MA 01107
Phone (413) 781-9000
7070 Samuel Morse Dr
Columbia, MD 21046
Phone (410) 309-4600
7190 Crestwood Blvd
Frederick, MD 21703
Phone (240) 529-1700
1701 Twin Springs Rd
Halethorpe, MD 21227
Phone (410) 737-5000
10810 Connecticut Ave
Kensington, MD 20895
Phone (301) 929-7100
1221 Mercantile Ln
Fl 3
Largo, MD 20774
Phone (301) 618-5500
655 Watkins Mill Rd
Montgomery Village, MD 20879
Phone (301) 929-7100
2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853
2101 E Jefferson St
Ste 4EAST
Rockville, MD 20852
2101 E Jefferson St
Ste 6W
Rockville, MD 20852
Phone (301) 816-5853
2101 E Jefferson St
#4E
Rockville, MD 20852
6701 N Charles St
Towson, MD 21204
Phone (443) 849-2000
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
8008 Westpark Dr
Tysons Corner, VA 22102
Phone (703) 287-6400
14139 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 257-3000
Interoperability endpoints
- psajedi40809@connecticutchildrens.direct-ci.com
- psajedi85195@direct.umm.edu
Organizations & group practices 12
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.
-
- Health Maintenance Organization
- Halethorpe, MD
- NPI 1043378656
Diagnostic Radiology
-
- Ambulatory Surgical Clinic/Center
- MC Lean, VA
- NPI 1073678637
DC
-
- Ambulatory Surgical Clinic/Center
- Largo, MD
- NPI 1366781700
DC
-
- Ambulatory Surgical Clinic/Center
- Gaithersburg, MD
- NPI 1497023188
DC
-
- Ambulatory Surgical Clinic/Center
- Kensington, MD
- NPI 1578638425
DC
-
- Health Maintenance Organization
- Lansdowne, VA
- NPI 1861552721
Diagnostic Radiology
-
- Health Maintenance Organization
- Annapolis, MD
- NPI 1952461816
DC, Diagnostic Radiology
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1245266956
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Dedham, MA
- NPI 1386662112
-
- Diagnostic Radiology Physician
- Springfield, MA
- NPI 1821435553
-
- Health Maintenance Organization
- Washington, DC
- NPI 1093016933
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rockville, MD
- NPI 1962108753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1316200769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 FOUNDERS PLZ STE 400",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061083240",
"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": "111 FOUNDERS PLZ STE 400",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061083240",
"telephone_number": "860-289-3375",
"fax_number": "860-783-5733"
}
],
"practiceLocations": [
{
"address_1": "5501 Old York Rd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191413018",
"country_code": "US",
"telephone_number": "215-456-4571",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAJEDI",
"first_name": "PAYAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-20",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CT",
"license": "59982",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT202291",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "c-cda",
"address_1": "1701 Twin Springs Rd",
"city": "Halethorpe",
"state": "MD",
"country_code": "US",
"postal_code": "212273553",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "2400 Mount Zion Pkwy",
"city": "Jonesboro",
"state": "GA",
"country_code": "US",
"postal_code": "302362500",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in East Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.