Individual provider Active NPI

Frederick Shuler, MD

  • Diagnostic Radiology Physician
  • Manchester, CT
National Provider Identifier
1588674543
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
034276 Issued in CT
Practice address
71 Haynes St
Manchester, CT 06040
Phone
(860) 646-1222
Fax
(860) 533-3498
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 034276 CT Primary

Addresses

Primary practice location

71 Haynes St
Manchester, CT 06040

Mailing address

341 East Center St
PMB #141
Manchester, CT 06040
Phone (860) 646-1222

Other identifiers 1

IdentifierTypeStateIssuer
1342766MedicaidCT

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
I20040916000289 CT Practitioner - Diagnostic Radiology 8325015514

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chelmsford MRI, P.C. Diagnostic Radiology CurrentSince May 1, 2021 Accepting new patients
Chelmsford MRI, P.C. Diagnostic Radiology CurrentSince May 1, 2021 Accepting new patients
Radiology & Imaging, Inc. Diagnostic Radiology PastSince Aug 7, 2009 Accepting new patients
Evergreen Imaging Center, LLC Past Accepting new patients

Locations

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

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

Interoperability endpoints

  • Direct secure messaging: fshuler54699@connecticutchildrens.direct-ci.com

Organizations & group practices 4

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588674543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 EAST CENTER ST",
            "address_2": "PMB #141",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "06040",
            "telephone_number": "860-646-1222",
            "fax_number": "860-533-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 HAYNES ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "06040",
            "telephone_number": "860-646-1222",
            "fax_number": "860-533-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULER",
        "first_name": "FREDERICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "034276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1342766",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.