Individual provider Active NPI

Kamalou Yaya

  • Vascular & Interventional Radiology Physician
  • Hartford, CT
National Provider Identifier
1366976177
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
75174 Issued in CT
Practice address
80 Seymour St
Hartford, CT 06106-3300
Phone
(860) 545-5000
NPI assigned
Apr 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 302081 NY
Student in an Organized Health Care Education/Training Program 390200000X
Vascular & Interventional Radiology Physician 2085R0204X 75174 CT Primary

Addresses

Primary practice location

80 Seymour St
Hartford, CT 06106-3300

Mailing address

80 Seymour St
Hartford, CT 06106-3315
Phone (212) 263-5506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231219000302 CT Practitioner - Diagnostic Radiology 2466802368 Reassigns benefits to 4 organizations
I20240613001570 MA Practitioner - Diagnostic Radiology 2466802368 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Imaging Partners LLCGroup PAC ID 4183649098, 105 clinicians
Jefferson Radiology PCGroup PAC ID 8729982525, 121 clinicians
Farmington Imaging Center LLCGroup PAC ID 7719265651, 68 clinicians
Tic LLCGroup PAC ID 4880972819, 52 clinicians

Practice addresses (Care Compare)

100 Hazard Ave
Suite 100
Enfield, CT 06082-5447
Phone (860) 289-3375

1260 Silas Deane Hwy
Suite 104
Wethersfield, CT 06109-4363

18 Eastern Point Dr
Shrewsbury, MA 01545-2173
Phone (860) 289-3375

399 Farmington Ave
FL 1
Farmington, CT 06032-1936
Phone (860) 289-3375

575 Beech St
Holyoke, MA 01040-2223
Phone (860) 291-6572

6 Fieldstone CMNS
Suite E
Tolland, CT 06084-3419
Phone (860) 896-4848

85 Seymour St
Suite 200
Hartford, CT 06106-5509
Phone (860) 289-3375

Hospital & facility affiliations

  • Hartford Hospital Hospital, Hartford, CT, CCN 070025
  • Manchester Memorial Hospital Hospital, Manchester, CT, CCN 070027
  • Day Kimball Hospital Hospital, Putnam, CT, CCN 070003
  • Griffin Hospital Hospital, Derby, CT, CCN 070031

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
302081NYMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Radiology, PC Vascular & Interventional Radiology CurrentSince Dec 18, 2023 Accepting new patients
Connecticut Imaging Partners, LLC Vascular & Interventional Radiology CurrentSince Dec 18, 2023 Accepting new patients
Tic, LLC CurrentSince Oct 2, 2023 Accepting new patients
Farmington Imaging Center, LLC Vascular & Interventional Radiology CurrentSince Oct 2, 2023 Accepting new patients

Locations

100 Hazard Ave
Ste 100
Enfield, CT 06082
Phone (860) 696-2380

399 Farmington Ave
Lowr 1
Farmington, CT 06032

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

85 Seymour St
Ste 200
Hartford, CT 06106
Phone (860) 246-6589

6 Fieldstone Cmns
Ste E
Tolland, CT 06084
Phone (860) 896-4847

1260 Silas Deane Hwy
Ste 104
Wethersfield, CT 06109
Phone (860) 563-7844

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

115 W Silver St
Westfield, MA 01085
Phone (413) 562-3444

Interoperability endpoints

  • Direct secure messaging: kamalou.yaya@xdr.hhchealthdirect.org
  • FHIR API: https://app.meldrx.com/api/fhir/ei-jefferson

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.

Hospital & facility affiliations 6

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": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1366976177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063315",
            "telephone_number": "212-263-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063300",
            "telephone_number": "860-545-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAYA",
        "first_name": "KAMALOU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-18",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "302081",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CT",
            "license": "75174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.