Active NPI
Steven R. Urbanski, M.D.
- Diagnostic Radiology Physician
- Hartford, CT
National Provider Identifier
1346226438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 030596
- Practice address
- 85 Seymour St
Suite 200
Hartford, CT 06106-5501 - Phone
- (860) 289-3375
- Fax
- (860) 560-2849
- NPI assigned
- Dec 20, 2005
- 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 | 030596 | CT | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 246192 | MA |
Addresses
Primary practice location
85 Seymour St
Suite 200
Hartford, CT 06106-5501
Mailing address
111 Founders PLZ
Suite 400
East Hartford, CT 06108-3212
Phone (860) 291-6554
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A2516306 | Other | CT | OXFORD |
| 010030596CT04 | Other | CT | ANTHEM BC/BS |
| 001305962 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030596 | CT | MD | Diagnostic Radiology Physician |
| 246192 | MA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chelmsford MRI, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Chelmsford MRI, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Tolland Imaging Center, LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
200 Providence Hwy
Ste 210
Dedham, MA 02026
Phone (781) 329-0600
3640 Main St
Ste 101
Springfield, MA 01107
Phone (413) 781-9000
Interoperability endpoints
- steven.urbanski@xdr.hhchealthdirect.org
Organizations & group practices 4
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
- Dedham, MA
- NPI 1386662112
-
- Diagnostic Radiology Physician
- Springfield, MA
- NPI 1821435553
-
- Diagnostic Radiology Physician
- Tolland, CT
- NPI 1841470820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515974400000",
"number": "1346226438",
"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": "860-291-6554",
"fax_number": "860-528-0778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 SEYMOUR ST",
"address_2": "SUITE 200",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061065501",
"telephone_number": "860-289-3375",
"fax_number": "860-560-2849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URBANSKI",
"first_name": "STEVEN",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2018-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CT",
"license": "030596",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "246192",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "A2516306",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "010030596CT04",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001305962",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.