Active NPI
Sidney Ulreich, MD
- Diagnostic Radiology Physician
- New Britain, CT
National Provider Identifier
1417934860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 016745
- Practice address
- 100 Grand St
New Britain, CT 06052-2016 - Phone
- (860) 224-5556
- NPI assigned
- Dec 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 016745 | CT | Primary |
Addresses
Primary practice location
100 Grand St
New Britain, CT 06052-2016
Mailing address
101 N Plains Industrial Rd
Wallingford, CT 06492-2360
Phone (203) 949-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001167451 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016745 | CT | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Britain Radiological Assoc.,PC | Diagnostic Radiology | Current | Accepting new patients |
| Vein Centers, LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
2150 Corbin Ave
New Britain, CT 06053
Phone (860) 223-2761
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
101 N Plains Rd
Wallingford, CT 06492
Phone (203) 265-0018
Organizations & group practices 2
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.
-
dba MRI of New Britain
- Diagnostic Radiology Physician
- New Britain, CT
- NPI 1386823086
-
- Diagnostic Radiology Physician
- Bristol, CT
- NPI 1639739634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494979200000",
"number": "1417934860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 N PLAINS INDUSTRIAL RD",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064922360",
"telephone_number": "203-949-2700",
"fax_number": "203-949-2712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 GRAND ST",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060522016",
"telephone_number": "860-224-5556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULREICH",
"first_name": "SIDNEY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-28",
"last_updated": "2017-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CT",
"license": "016745",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001167451",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Britain, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.