Individual provider Active NPI

Steven K. Sussman, M.D.

  • Vascular & Interventional Radiology Physician
  • Hartford, CT
National Provider Identifier
1568448710
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
028037 Issued in CT
Practice address
85 Seymour St
Suite 200
Hartford, CT 06106-5501
Phone
(860) 289-3375
Fax
(860) 560-2849
NPI assigned
Dec 20, 2005
Last updated
Jan 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 028037 CT Primary
Vascular & Interventional Radiology Physician 2085R0204X 48003 MA

Addresses

Primary practice location

85 Seymour St
Suite 200
Hartford, CT 06106-5501

Mailing address

111 Founders PLZ
Suite 400
East Hartford, CT 06108-3212
Phone (860) 289-3375

Other identifiers 3

IdentifierTypeStateIssuer
010028037CT01OtherCTANTHEM BC/BS
A2516306OtherCTOXFORD
001280370MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20051014000623 CT Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 2466356282 Reassigns benefits to 4 organizations
I20111202000016 MA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 2466356282 Reassigns benefits to 8 organizations
I20210917000673 NY Practitioner - Diagnostic Radiology 2466356282 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Albert Einstein College of Medicine of Yeshiva University, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Imaging Partners LLCGroup PAC ID 4183649098, 105 clinicians
Jefferson Radiology PCGroup PAC ID 8729982525, 121 clinicians
Farmington Imaging Center LLCGroup PAC ID 7719265651, 68 clinicians
Tic LLCGroup PAC ID 4880972819, 52 clinicians

Practice addresses (Care Compare)

100 Simsbury Rd
Avon, CT 06001-3793
Phone (860) 289-3375

1260 Silas Deane Hwy
Suite 104
Wethersfield, CT 06109-4363
Phone (860) 289-3375

1260 Silas Deane Hwy 100
Wethersfield, CT 06109-4363
Phone 860289337587099

130 Division St
Derby, CT 06418-1326
Phone (203) 735-7421

2800 Tamarack Ave
Suite 105
South Windsor, CT 06074-5553
Phone (860) 289-3375

29 Sherman St
Brooklyn, NY 11215-6014
Phone (860) 289-3375

320 Pomfret St
Putnam, CT 06260-1836
Phone (860) 928-6541

399 Farmington Ave
Farmington, CT 06032-1936
Phone (860) 289-3375

6 Fieldstone CMNS
Suite E
Tolland, CT 06084-3419
Phone (860) 896-4848

69 5TH Ave
Apt 7GH
New York, NY 10003-3005
Phone (860) 289-3375

704 Hebron Ave
Suite 100
Glastonbury, CT 06033-5020
Phone (860) 289-3375

71 Haynes St
Manchester, CT 06040-4131
Phone (860) 289-3375

85 Seymour St
Suite 200
Hartford, CT 06106-5509
Phone (860) 289-3375

941 Farmington Ave
West Hartford, CT 06107-2203
Phone (860) 289-3375

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
028037CTMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Nov 1, 2020 Accepting new patients
Farmington Imaging Center, LLC Vascular & Interventional Radiology CurrentSince Oct 3, 2016 Accepting new patients
Compass Medical PC CurrentSince Apr 4, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 1, 2020 Accepting new patients
Chelmsford MRI, P.C. CurrentSince Feb 26, 2020 Accepting new patients
Tic, LLC CurrentSince Sep 1, 2016 Accepting new patients
Connecticut Imaging Partners, LLC Vascular & Interventional Radiology CurrentSince Feb 10, 2010 Accepting new patients
Chelmsford MRI, P.C. CurrentSince Feb 26, 2020 Accepting new patients
Compass Medical PC CurrentSince Apr 4, 2022 Accepting new patients
Tolland Imaging Center, LLC Past Accepting new patients

Locations

100 Simsbury Rd
Ste 101
Avon, CT 06001
Phone (860) 678-8527

399 Farmington Ave
Lowr 1
Farmington, CT 06032

704 Hebron Ave
Ste 100
Glastonbury, CT 06033
Phone (860) 659-9595

111 Founders Plz
Ste 400
Hartford, CT 06108
Phone (860) 291-6554

85 Seymour St
Hartford, CT 06106
Phone (860) 246-4029

85 Seymour St
Ste 200
Hartford, CT 06106
Phone (860) 246-6589

6 Fieldstone Cmns
Ste E
Tolland, CT 06084
Phone (860) 896-4847

941 Farmington Ave
West Hartford, CT 06107
Phone (860) 231-1900

1260 Silas Deane Hwy
Ste 104
Wethersfield, CT 06109
Phone (860) 563-7844

200 Providence Hwy
Ste 210
Dedham, MA 02026
Phone (781) 329-0600

1 Donalds Way
Ste 105
East Bridgewater, MA 02333
Phone (508) 350-2200

1 Donalds Way
Ste 102
East Bridgewtr, MA 02333
Phone (508) 350-2100

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

8 Commerce Blvd
Middleboro, MA 02346
Phone (774) 260-9300

54 Miller St
Ste 200
Quincy, MA 02169
Phone (617) 481-3200

54 Miller St
Ste 201
Quincy, MA 02169
Phone (617) 481-3100

3640 Main St
Ste 101
Springfield, MA 01107
Phone (413) 781-9000

115 W Silver St
Westfield, MA 01085
Phone (413) 562-3444

69 5th Ave
Apt 7GH
New York, NY 10003

Interoperability endpoints

  • Direct secure messaging: steven.sussman@xdr.hhchealthdirect.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1568448710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FOUNDERS PLZ",
            "address_2": "SUITE 400",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083212",
            "telephone_number": "860-289-3375",
            "fax_number": "860-783-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST",
            "address_2": "SUITE 200",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065501",
            "telephone_number": "860-289-3375",
            "fax_number": "860-560-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSSMAN",
        "first_name": "STEVEN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CT",
            "license": "028037",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MA",
            "license": "48003",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "010028037CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "A2516306",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001280370",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.