Individual provider Active NPI

Robert Wolek, MD

  • Diagnostic Radiology Physician
  • Middletown, CT
National Provider Identifier
1487674735
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
037229 Issued in CT
Practice address
28 Crescent St
Middlesex Hospital
Middletown, CT 06457
Phone
(860) 344-6293
Fax
(860) 344-6071
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 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 037229 CT Primary

Addresses

Primary practice location

28 Crescent St
Middlesex Hospital
Middletown, CT 06457

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
004000378MedicaidCT

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
I20101119000203 CT Practitioner - Diagnostic Radiology 9638109267 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Warren Alpert Medical School of Brown University, 1994
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)

12 Jones Hollow Rd
Marlborough, CT 06447-1139
Phone (860) 358-3200

250 Flat Rock PL
Westbrook, CT 06498-3585
Phone (860) 358-3815

28 Crescent St
Middletown, CT 06457-3654
Phone (860) 344-6293

534 Saybrook Rd
Middletown, CT 06457-4754
Phone (860) 358-2500

Hospital & facility affiliations

  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
037229CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiologic Associates of Middletown PC Diagnostic Radiology CurrentSince Feb 1, 2002 Accepting new patients
Guilford Radiology LLC Diagnostic Radiology CurrentSince Aug 1, 2018 Accepting new patients
Radiologic Assoc of Middletown PC Diagnostic Radiology Past Accepting new patients
Tier Orthopedic Associates, P.C. Past Accepting new patients

Locations

1591 Boston Post Rd
Ste 106
Guilford, CT 06437

1591 Boston Post Rd
Guilford, CT 06437
Phone (203) 281-3636

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

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

330 S Main St
Middletown, CT 06457

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

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

687 Campbell Ave
West Haven, CT 06516
Phone (203) 786-5068

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

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 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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1487674735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573606",
            "telephone_number": "860-346-8481",
            "fax_number": "860-346-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "address_2": "MIDDLESEX HOSPITAL",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "06457",
            "telephone_number": "860-344-6293",
            "fax_number": "860-344-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLEK",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "037229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004000378",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.