NPIMap

Individual provider Active NPI

Robert Bellarmine Daly, M.D.

  • Diagnostic Radiology Physician
  • Willimantic, CT
National Provider Identifier
1578503181
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
17812 Issued in NH
Practice address
153 Bolivia St
Willimantic, CT 06226-2641
Phone
(860) 208-4920
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA11074000 NJ
Diagnostic Radiology Physician 2085R0202X MD13409 RI
Diagnostic Radiology Physician 2085R0202X 17812 NH Primary
Diagnostic Radiology Physician 2085R0202X 023347 CT
Diagnostic Radiology Physician 2085R0202X 235221 MA

Addresses

Primary practice location

153 Bolivia St
Willimantic, CT 06226-2641

Mailing address

153 Bolivia St
Willimantic, CT 06226-2641
Phone (860) 208-4920

Other identifiers 1

IdentifierTypeStateIssuer
001233477MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH, NJ, NY, CT5 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20080818000119 MA Practitioner - Diagnostic Radiology 7315950896 Reassigns benefits to 3 organizations
I20160624001811 NH Practitioner - Diagnostic Radiology 7315950896
I20210610000587 NJ Practitioner - Diagnostic Radiology 7315950896 Reassigns benefits to 1 organization
I20220107000321 NY Practitioner - Diagnostic Radiology 7315950896 Reassigns benefits to 1 organization
I20260407004173 CT Practitioner - Diagnostic Radiology 7315950896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Massachusetts Medical School, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians
Pratt Radiology Associates IncGroup PAC ID 8820989411, 53 clinicians

Practice addresses (Care Compare)

1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3480

114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-4000

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023347CTMDDiagnostic Radiology Physician
17812NHMDDiagnostic Radiology Physician
MD13409RIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metrowest Imaging Center LLC CurrentSince Nov 15, 2023 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Jan 3, 2022 Accepting new patients
Franklin MRI Center LLC CurrentSince May 24, 2022 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Jan 3, 2022 Accepting new patients
Pratt Radiology Associates, Inc Diagnostic Radiology CurrentSince May 7, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Feb 23, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Mar 25, 2022 Accepting new patients
Pin Point Radiology Practice Group, PA Diagnostic Radiology Past Accepting new patients
X-Ray Associates, Inc Diagnostic Radiology Past Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology Past Accepting new patients
Spinnaker Associates Inc Diagnostic Radiology Past Accepting new patients
Bristol County Open MRI Services Inc. Diagnostic Radiology Past Accepting new patients
Providence Diagnostic Imaging, Inc. Diagnostic Radiology Past Accepting new patients
Bristol County Open MRI Diagnostic Radiology PastSince Dec 6, 2000 Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

851 Middle St
Ste 2100
Fall River, MA 02721
Phone (508) 235-5445

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 9

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1578503181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 BOLIVIA ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262641",
            "telephone_number": "860-208-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 BOLIVIA ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262641",
            "telephone_number": "860-208-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "ROBERT",
        "middle_name": "BELLARMINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA11074000",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "MD13409",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "17812",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "023347",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "235221",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001233477",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willimantic, CT

Sources for this page

Verify at the official NPI Registry.