Active NPI
Kenneth S Allen, MD
- Diagnostic Ultrasound Physician
- Waterbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- License
- 026221
- Practice address
- 134 Grandview Ave
Suite 101
Waterbury, CT 06708 - Phone
- (203) 756-8911
- Fax
- (203) 574-0548
- NPI assigned
- Apr 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 026221 | CT | |
| Diagnostic Ultrasound Physician | 2085U0001X | 026221 | CT | Primary |
Addresses
Primary practice location
134 Grandview Ave
Suite 101
Waterbury, CT 06708
Mailing address
134 Grandview Ave
Waterbury, CT 06708
Phone (203) 756-8911
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060911608002 | Other | TRICARE | |
| OR0365 | Other | HEALTHNET | |
| 01002627CT02 | Other | ANTHEM | |
| 711609 | Other | CTCARE |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.52 of 100
- Quality
- 56.11
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026221 | CT | MD | Diagnostic Ultrasound Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Waterbury Imaging Center Limited Partnership | Diagnostic Radiology | Current | Accepting new patients |
| Diagnostic Radiology Associates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Diagnostic Imaging of Southbury | Past | Accepting new patients | |
| Housatonic Valley Radiological Associates PC | Diagnostic Radiology | Past | Accepting new patients |
| Diagnostic Imaging Associates LLC | Past | Accepting new patients | |
| Naugatuck Valley Computerized Imaging | Past | Accepting new patients | |
| Prospect CT Medical Foundation, Inc. | Past | Accepting new patients |
Locations
1579 Straits Tpke
Middlebury, CT 06762
Phone (203) 577-2002
305 Church St
Ste 15
Naugatuck, CT 06770
Phone (203) 262-6797
134 Grandview Ave
Waterbury, CT 06708
Phone (203) 573-6270
134 Grandview Ave
Ste 101
Waterbury, CT 06708
Phone 2035969793254
68 Robbins St
Waterbury, CT 06708
Phone (203) 573-7674
64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142
Organizations & group practices 8
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.
-
- Radiology Clinic/Center
- Waterbury, CT
- NPI 1700837374
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Naugatuck, CT
- NPI 1366493926
-
- Physiological Laboratory
- Waterbury, CT
- NPI 1245295401
Diagnostic Radiology
-
- Radiology Clinic/Center
- Waterbury, CT
- NPI 1336161918
-
- Radiology Clinic/Center
- Southbury, CT
- NPI 1245252824
-
- Diagnostic Radiology Physician
- Danbury, CT
- NPI 1902096324
-
- Radiology Clinic/Center
- Waterbury, CT
- NPI 1225050800
-
- Family Medicine Physician
- Manchester, CT
- NPI 1144677568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1528025913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 GRANDVIEW AVE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06708",
"telephone_number": "203-756-8911",
"fax_number": "203-574-0548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 GRANDVIEW AVE",
"address_2": "SUITE 101",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06708",
"telephone_number": "203-756-8911",
"fax_number": "203-574-0548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "KENNETH",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CT",
"license": "026221",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "CT",
"license": "026221",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "060911608002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "OR0365",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "01002627CT02",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CTCARE",
"identifier": "711609",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.