NPIMap

Organization Active NPI

Hartford Radiation Oncology Associates PC

  • Radiation Oncology Physician
  • Hartford, CT
National Provider Identifier
1346236759
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
HARTFORD RADIATION ONCOLOGY ASSOCIATES PC
Practice address
80 Seymour St
Hartford, CT 06106
Phone
(860) 545-2803
Fax
(860) 545-4002
NPI assigned
Sep 21, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Susan KimNPI 1982697363
Title
Treasurer
Phone
(860) 972-2803

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X CT Primary

Addresses

Primary practice location

80 Seymour St
Hartford, CT 06106

Mailing address

PO Box 1962
Brattleboro, VT 05302-1962
Phone (770) 693-2622

Other identifiers 1

IdentifierTypeStateIssuer
004065512MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050119000992 CT Part B Supplier - Clinic/Group Practice 8921057654 Receives reassigned benefits from 14 practitioners
Practice locations: Avon, CT; Manchester, CT; Hartford, CT; Farmington, CT

National Provider Directory

National Provider Directory

Locations

85 Retreat Ave
Hartford, CT 06106
Phone (860) 249-6291

100 Haynes St
#1
Manchester, CT 06040

73 Haynes St
#A
Manchester, CT 06040
Phone (860) 533-4000

Practitioners & affiliated clinicians

Practitioners 50

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 50

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346236759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1962",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053021962",
            "telephone_number": "770-693-2622",
            "fax_number": "770-693-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06106",
            "telephone_number": "860-545-2803",
            "fax_number": "860-545-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD RADIATION ONCOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "860-972-2803"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004065512",
            "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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.