NPIMap

Individual provider Active NPI

George Charles Laverde, M.D., PH.D.

  • Diagnostic Radiology Physician
  • New Haven, CT
National Provider Identifier
1508029398
Registry record updated May 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
051689 Issued in CT
Practice address
20 York St
New Haven, CT 06510-3220
Phone
(203) 688-2433
NPI assigned
Jul 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2013

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 051689 CT Primary

Addresses

Primary practice location

20 York St
New Haven, CT 06510-3220

Mailing address

20 York St
New Haven, CT 06510-3220
Phone (203) 688-2433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130723000045 CT Practitioner - Diagnostic Radiology 7810138583 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Pittsburgh School of Medicine, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Starling Physicians, PLLCGroup PAC ID 7517863749, 276 clinicians
Midstate Radiology Associates LLCGroup PAC ID 4880593565, 89 clinicians
Meriden Imaging Center IncGroup PAC ID 4385683556, 56 clinicians

Practice addresses (Care Compare)

375 Willard Ave
Newington, CT 06111-2300
Phone (860) 258-3480

435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 949-2700

863 N Main St Ext
Wallingford, CT 06492-2434

Hospital & facility affiliations

  • Midstate Medical Center Hospital, Meriden, CT, CCN 070017
  • Windham Community Memorial Hospital Hospital, Willimantic, CT, CCN 070021
  • William W Backus Hospital Hospital, Norwich, CT, CCN 070024
  • The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
82.26
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.37 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051689CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Masonicare Health Center CurrentSince Mar 1, 2016 Accepting new patients
Masonicare Health Center CurrentSince Mar 1, 2016 Accepting new patients
Starling Physicians, PLLC CurrentSince Oct 1, 2024 Accepting new patients
Diagnostic Imaging Services of CT, LLC Diagnostic Radiology CurrentSince Aug 1, 2015 Accepting new patients
Midstate Radiology Associates, LLC Diagnostic Radiology CurrentSince Aug 1, 2015 Accepting new patients
Starling Physicians PLLC CurrentSince Oct 1, 2024 Accepting new patients
Meriden Imaging Center, Inc. Diagnostic Radiology CurrentSince Aug 1, 2015 Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

22 Pine St
Bristol, CT 06010
Phone (860) 229-8346

680 S Main St
Cheshire, CT 06410
Phone (203) 272-3595

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

375 Willard Ave
Newington, CT 06111
Phone (860) 666-5252

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

1 Towne Park Plz
Norwich, CT 06360
Phone (860) 886-1433

863 N Main Street Ext
Wallingford, CT 06492

101 N Plains Rd
Wallingford, CT 06492
Phone (203) 265-0018

22 Masonic Ave
Wallingford, CT 06492
Phone (203) 284-3900

Interoperability endpoints

  • Direct secure messaging: george.laverde@xdr.hhchealthdirect.org

Organizations & group practices 7

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 8

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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368921600000",
    "number": "1508029398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVERDE",
        "first_name": "GEORGE",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2013-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "051689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.