Individual provider Active NPI

Gary K Griffin, MD

  • Diagnostic Radiology Physician
  • Torrington, CT
National Provider Identifier
1457389231
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
031068 Issued in CT
Practice address
57 Commercial Blvd
Torrington, CT 06790
Phone
(860) 489-7314
Fax
(860) 489-7213
NPI assigned
Jun 29, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 031068 CT Primary

Addresses

Primary practice location

57 Commercial Blvd
Torrington, CT 06790

Mailing address

57 Commercial Blvd
Torrington Radiologist PC
Torrington, CT 06790
Phone (860) 489-7314

Other identifiers 2

IdentifierTypeStateIssuer
18551OtherCTCONTROLLED SUB
00131068001MedicaidCT

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
I20100330001049 CT Practitioner - Diagnostic Radiology 9133010101 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Connecticut School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiologic Associates of Middletown PCGroup PAC ID 5799765186, 32 clinicians

Practice addresses (Care Compare)

57 S Main St
Middletown, CT 06457-3606
Phone (860) 346-8481

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50.32 of 100Reported as group
Quality
38.88
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
031068CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiologic Associates of Middletown PC Diagnostic Radiology CurrentSince Oct 3, 2018 Accepting new patients
Guilford Radiology LLC Diagnostic Radiology CurrentSince May 1, 2021 Accepting new patients

Locations

1591 Boston Post Rd
Ste 106
Guilford, CT 06437

2A Samson Rock Dr
Madison, CT 06443
Phone (203) 245-5904

12 Jones Hollow Rd
Marlborough, CT 06447
Phone (860) 358-3200

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

534 Saybrook Rd
Middletown, CT 06457
Phone (860) 358-2500

250 Flat Rock Pl
Westbrook, CT 06498
Phone (860) 358-3640

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

Hospital & facility affiliations 1

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1457389231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 COMMERCIAL BLVD",
            "address_2": "TORRINGTON RADIOLOGIST PC",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "06790",
            "telephone_number": "860-489-7314",
            "fax_number": "860-489-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 COMMERCIAL BLVD",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "06790",
            "telephone_number": "860-489-7314",
            "fax_number": "860-489-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "GARY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "031068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUB",
            "identifier": "18551",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00131068001",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.