Individual provider Active NPI

Carlos Manuel Badiola, MD

  • Diagnostic Radiology Physician
  • Bristol, CT
National Provider Identifier
1346267127
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
032481 Issued in CT
Practice address
25 Collins Rd
Bristol, CT 06010-3893
Phone
(860) 584-0541
Fax
(860) 584-9998
NPI assigned
Jul 16, 2006
Last updated
Sep 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 032481 CT Primary

Addresses

Primary practice location

25 Collins Rd
Bristol, CT 06010-3893

Mailing address

PO Box 277
985 Farmington Avenue
Bristol, CT 06011-0277
Phone (860) 584-1320

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cbadiola10637@direct.med.uchc.edu

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
I20080519000167 CT Practitioner - Diagnostic Radiology 1052204146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Florida College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Royce Cir
Suite 104
Storrs, CT 06268-2270
Phone (860) 487-9200

117 Albany Tpke
Canton, CT 06019-2507
Phone (860) 679-3692

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3692

263 Farmington Ave
Farmington, CT 06030-8082

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
032481CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Connecticut Health Center CurrentSince Mar 18, 2008 Accepting new patients
Radiologic Associates PC Diagnostic Radiology CurrentSince Oct 1, 1994 Accepting new patients
University of Connecticut Health Center Diagnostic Radiology CurrentSince Mar 18, 2008 Accepting new patients
Uconn Health Imaging, LLC Diagnostic Radiology CurrentSince Apr 17, 2024 Accepting new patients

Locations

25 Collins Rd
Bristol, CT 06010
Phone (860) 584-0541

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

5 Munson Rd
Ste 110
Farmington, CT 06032
Phone (860) 679-2800

Interoperability endpoints

  • Direct secure messaging: cbadiola10637@direct.med.uchc.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1346267127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "address_2": "985 FARMINGTON AVENUE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060110277",
            "telephone_number": "860-584-1320",
            "fax_number": "860-584-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 COLLINS RD",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060103893",
            "telephone_number": "860-584-0541",
            "fax_number": "860-584-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADIOLA",
        "first_name": "CARLOS",
        "middle_name": "MANUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "032481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbadiola10637@direct.med.uchc.edu",
            "affiliation": "N",
            "address_1": "Uconn Medical Group",
            "address_2": "263 Farmington Avenue",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060300001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.