Individual provider Active NPI

Kenneth S Allen, MD

  • Diagnostic Ultrasound Physician
  • Waterbury, CT
National Provider Identifier
1528025913
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
License
026221 Issued in CT
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
060911608002OtherTRICARE
OR0365OtherHEALTHNET
01002627CT02OtherANTHEM
711609OtherCTCARE

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
I20060824000466 CT Practitioner - Diagnostic Radiology 5991718116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.52 of 100Reported as group
Quality
56.11
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
026221CTMDDiagnostic Ultrasound Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Waterbury Imaging Center Limited Partnership Diagnostic Radiology CurrentSince Aug 8, 2000 Accepting new patients
Diagnostic Radiology Associates, LLC Diagnostic Radiology CurrentSince Mar 7, 1991 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. PastSince Jul 1, 2015 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.

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

Verify at the official NPI Registry.