Active NPI
Richard Dennis Glisson, D.O.
- Diagnostic Radiology Physician
- Glastonbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 038819
- Practice address
- 124 Hebron Ave Ste 1B
Glastonbury, CT 06033 - Phone
- (860) 633-8806
- Fax
- (860) 657-3788
- NPI assigned
- Mar 25, 2006
- 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 | OS21704 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | 038819 | CT | Primary |
Addresses
Primary practice location
124 Hebron Ave Ste 1B
Glastonbury, CT 06033
Mailing address
PO Box 230
Glastonbury, CT 06033-0230
Phone (860) 633-8806
Other practice location 1
1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 265-0301 ext. 50301
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300117748 | Other | CT | RAILROAD MEDICARE |
| 300117753 | Other | CT | RAILROAD MEDICARE |
| 040038819CT09 | Other | CT | ANTHEM BC/BS |
| 300117769 | Other | CT | RAILROAD MEDICARE |
| 001388190 | Medicaid | CT | |
| 040038819CT05 | Other | CT | ANTHEM BC/BS |
| 040038819CT02 | Other | CT | ANTHEM BC/BS |
| 040038819CT03 | Other | CT | ANTHEM BC/BS |
| 300117740 | Other | CT | RAILROAD MEDICARE |
| 300117761 | Other | CT | RAILROAD MEDICARE |
| 040038819CT08 | Other | CT | ANTHEM BC/BS |
| 300117757 | Other | CT | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.02 of 100
- Quality
- 82.26
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.37 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038819 | CT | MD | Licensed Practical Nurse |
| OS21704 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meriden Imaging Center, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Mandell & Blau, MD'S PC | Diagnostic Radiology | Current | Accepting new patients |
| Diagnostic Imaging Services of CT, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Symphony Diagnostic Services No 1 LLC | Current | Accepting new patients | |
| American Diagnostics Services LLC | Current | Accepting new patients | |
| True North Health Navigation LLC | Current | Accepting new patients | |
| Kan-Di-Ki LLC | Current | Accepting new patients | |
| Midstate Radiology Associates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| American Diagnostics Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| New Britain Radiological Assoc.,PC | Diagnostic Radiology | Past | Accepting new patients |
| Coastal Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
3825 N Lafayette St
Denver, CO 80205
Phone (303) 505-1518
680 S Main St
Cheshire, CT 06410
Phone (203) 272-3595
124 Hebron Ave
Ste 1B
Glastonbury, CT 06033
Phone (860) 633-8806
565 Long Hill Rd
Ste 5
Groton, CT 06340
Phone (860) 448-6736
565 Long Hill Rd
Groton, CT 06340
Phone (401) 596-5695
435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340
100 Perkins Farm Dr
Ste 100
Mystic, CT 06355
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
326 Washington St
Norwich, CT 06360
Phone (860) 701-0140
1 Towne Park Plz
Norwich, CT 06360
Phone (860) 886-1433
201 N Mountain Rd
Ste 1530
Plainville, CT 06062
Phone (860) 648-4674
491 Buckland Rd
Ste 3A
South Windsor, CT 06074
Phone (860) 633-8806
491 Buckland Rd
South Windsor, CT 06074
Phone (860) 644-6667
81 Meriden Ave
Southington, CT 06489
Phone (860) 224-5540
863 N Main Street Ext
Wallingford, CT 06492
101 N Plains Rd
Wallingford, CT 06492
Phone (203) 265-0018
65 Memorial Rd
Ste 510
West Hartfrd, CT 06107
Phone (806) 236-6517
7200 Glen Forest Dr
Ste 106
Richmond, VA 23226
Phone (804) 495-0053
Interoperability endpoints
- richard.glisson@xdr.hhchealthdirect.org
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.
-
- Diagnostic Radiology Physician
- Groton, CT
- NPI 1093760431
-
- Diagnostic Radiology Physician
- Wallingford, CT
- NPI 1508812561
-
- Diagnostic Radiology Physician
- Meriden, CT
- NPI 1578518999
-
- Diagnostic Radiology Physician
- South Windsor, CT
- NPI 1811007545
-
- Diagnostic Radiology Physician
- South Windsor, CT
- NPI 1801986526
-
- Physiological Laboratory
- Hunt Valley, MD
- NPI 1487954913
-
- Physiological Laboratory
- Windsor Mill, MD
- NPI 1639140387
Diagnostic Radiology
-
- Diagnostic Ultrasound Physician
- Tukwila, WA
- NPI 1407151475
-
- Physiological Laboratory
- Clearwater, FL
- NPI 1932376233
-
- Diagnostic Radiology Physician
- Groton, CT
- NPI 1366475766
-
- Diagnostic Radiology Physician
- New Britain, CT
- NPI 1386823086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1376503003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 230",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060330230",
"telephone_number": "860-633-8806",
"fax_number": "860-657-3788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 HEBRON AVE STE 1B",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "06033",
"telephone_number": "860-633-8806",
"fax_number": "860-657-3788"
}
],
"practiceLocations": [
{
"address_1": "1600 SW Archer Rd",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326103003",
"country_code": "US",
"telephone_number": "352-265-0301 x50301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLISSON",
"first_name": "RICHARD",
"middle_name": "DENNIS",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-25",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "OS21704",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CT",
"license": "038819",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300117748",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300117753",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "040038819CT09",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300117769",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001388190",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "040038819CT05",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "040038819CT02",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "040038819CT03",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300117740",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300117761",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "040038819CT08",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300117757",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glastonbury, CT
- Glastonbury Public Schools
- Glastonbury Smiles, PC
- Glastonbury Surgery Center, LLC
- Glastonbury Vascular Associates PC
- Glastonbury Volunteer Ambulance Association Inc
- Gloria Annitto Olgas Lingerie
- Camila E Gonzalez Ribadeneira, PHARMD
- Marisa Gonzalez, BCBA,LBA
- Jeffrey Goodsell, M.D.
- Googe Wheelchair & Livery Service, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.