Individual provider Active NPI

Adam E. M. Eltorai, MD, PHD

  • Diagnostic Radiology Physician
  • Old Saybrook, CT
National Provider Identifier
1487115499
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
76594 Issued in CT
Practice address
7 N Main St Unit 1433
Old Saybrook, CT 06475-4247
Phone
(916) 801-8528
NPI assigned
Mar 31, 2019
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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 76594 CT Primary

Addresses

Primary practice location

7 N Main St Unit 1433
Old Saybrook, CT 06475-4247

Mailing address

7 N Main St Unit 1433
Old Saybrook, CT 06475-4247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, WI2 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
I20240514003934 CT Practitioner - Diagnostic Radiology 3072954502 Reassigns benefits to 3 organizations
I20240603001348 WI Practitioner - Diagnostic Radiology 3072954502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Radiology Wisconsin LLCGroup PAC ID 9537595533, 111 clinicians

Practice addresses (Care Compare)

10180 Washington Ave
Mount Pleasant, WI 53177-1604
Phone (414) 973-7830

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76594CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Radiology - Illinois LTD CurrentSince Jul 1, 2024 Accepting new patients
Medical X-Ray Consultants, LTD Diagnostic Radiology CurrentSince Aug 19, 2025 Accepting new patients
Wisconsin Radiology Specialists, S C CurrentSince Apr 21, 2024 Accepting new patients
Premier Radiology Wisconsin, LLC Diagnostic Radiology CurrentSince Apr 21, 2024 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Diagnostic Radiology Past Accepting new patients
Medical Xray Consultants, LTD PastSince May 16, 2021 Accepting new patients

Locations (25 of 33)

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

7400 W Rawson Ave
Franklin, WI 53132
Phone (414) 425-7000

9969 S 27th St
Ste 1500
Franklin, WI 53132
Phone (414) 325-7132

7080 N Port Washington Rd
Glendale, WI 53217
Phone (414) 228-4940

2061 Cheyenne Ct
Grafton, WI 53024
Phone (262) 243-4924

1032 S Cesar E Chavez Dr
Milwaukee, WI 53204

1121 E North Ave
Milwaukee, WI 53212
Phone (414) 267-6500

174 N Broadway
Milwaukee, WI 53202
Phone (414) 777-3060

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

2311 N Prospect Ave
Milwaukee, WI 53211
Phone (414) 319-3000

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

2350 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1556

3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000

4935 S 76th St
Ste 100
Milwaukee, WI 53220
Phone (281) 292-2450

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

6200 W Bluemound Rd
Milwaukee, WI 53213
Phone (414) 479-3668

788 N Jefferson St
Ste 201
Milwaukee, WI 53202
Phone (414) 226-4010

9252 N Green Bay Rd
Milwaukee, WI 53209
Phone (414) 527-5089

10180 Washington Ave
Mount Pleasant, WI 53177
Phone (414) 769-4040

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300

830 E Green Bay Ave
Saukville, WI 53080
Phone (262) 284-7117

Organizations & group practices 6

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 5

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": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1487115499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 N MAIN ST UNIT 1433",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 N MAIN ST UNIT 1433",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754247",
            "telephone_number": "916-801-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELTORAI",
        "first_name": "ADAM",
        "middle_name": "E. M.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-31",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "76594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Saybrook, CT

Sources for this page

Verify at the official NPI Registry.