Individual provider Active NPI

Kyle Urbanczyk, DO

  • Diagnostic Radiology Physician
  • New Haven, CT
National Provider Identifier
1508354655
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
73825 Issued in CT
Practice address
20 York St
New Haven, CT 06510
Phone
(203) 688-2433
Fax
(203) 688-9258
NPI assigned
Apr 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 73825 CT Primary

Addresses

Primary practice location

20 York St
New Haven, CT 06510

Mailing address

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

Other practice location 1

759 Chestnut St
Springfield, MA 01199-0001
Phone (413) 794-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20240702000493 NH Practitioner - Diagnostic Radiology 4385979210 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PLLCGroup PAC ID 8224468137, 6 clinicians
Core Physicians LLCGroup PAC ID 2769563253, 290 clinicians

Practice addresses (Care Compare)

5 Alumni Dr
Exeter, NH 03833-2128
Phone (603) 778-7311

605 Lafayette Rd
Portsmouth, NH 03801-5406
Phone (603) 658-2344

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.36 of 100Reported as apm
Quality
85.92
Promoting interoperability
78
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.52 of 100Reported as group
Quality
93.8
Improvement activities
40
Cost
79.98

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Core Physicians, LLC CurrentSince Aug 19, 2024 Accepting new patients
Core Physicians LLC CurrentSince Aug 19, 2024 Accepting new patients
Advanced Diagnostic Imaging, PLLC Diagnostic Radiology CurrentSince Jun 24, 2024 Accepting new patients

Locations

96 Calef Hwy
Unit 6
Epping, NH 03042
Phone (603) 679-5114

7 Alumni Dr
Exeter, NH 03833
Phone (603) 777-1000

5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339

7 Holland Way
#1
Exeter, NH 03833

3 Alumni Dr
Ste 301
Exeter, NH 03833
Phone (603) 658-1180

127 Plaistow Rd
Plaistow, NH 03865
Phone (603) 382-4972

605 Lafayette Rd
Portsmouth, NH 03801
Phone (603) 427-6600

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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 6

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": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1508354655",
    "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",
            "fax_number": "203-688-9258"
        },
        {
            "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": "06510",
            "telephone_number": "203-688-2433",
            "fax_number": "203-688-9258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "759 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011990001",
            "country_code": "US",
            "telephone_number": "413-794-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URBANCZYK",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "73825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.