NPIMap

Individual provider Active NPI

Bipinchandra Jagjivan

  • Diagnostic Radiology Physician
  • Southbury, CT
National Provider Identifier
1619973823
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
029720 Issued in CT
Practice address
385 Main St South
Union Square BLDG #1 Nvra Imaging Network
Southbury, CT 06488
Phone
(203) 264-7999
Fax
(203) 264-7477
NPI assigned
Jun 22, 2005
Last updated
Aug 22, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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 029720 CT Primary

Addresses

Primary practice location

385 Main St South
Union Square BLDG #1 Nvra Imaging Network
Southbury, CT 06488

Mailing address

385 Main St South
Union Square BLDG #1 Nvra Imaging Network
Southbury, CT 06488
Phone (203) 264-7999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060420000326 CT Practitioner - Diagnostic Radiology 9032128962 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Imaging Specialists LLCGroup PAC ID 9234676164, 47 clinicians

Practice addresses (Care Compare)

114 Woodland St
Hartford, CT 06105-1208
Phone (203) 426-3002

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3692

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
029720CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Connecticut Health Center CurrentSince Jul 5, 2022 Accepting new patients
Prospect Diagnostic Imaging CurrentSince May 1, 2006 Accepting new patients
State of Connecticut CurrentSince Sep 14, 2024 Accepting new patients
Diagnostic Imaging of Southbury CurrentSince Jan 1, 2014 Accepting new patients
Diagnostic Imaging Associates LLC CurrentSince May 1, 2006 Accepting new patients
State of Connecticut Current Accepting new patients
Advanced Imaging Specialists, LLC Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
University of Connecticut Health Center Diagnostic Radiology CurrentSince Jul 5, 2022 Accepting new patients
Premier Imaging LLC Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Uconn Health Imaging, LLC Diagnostic Radiology CurrentSince Apr 17, 2024 Accepting new patients
State of Connecticut CurrentSince Sep 14, 2024 Accepting new patients
Naugatuck Valley Computerized Imaging Past Accepting new patients
Health Imaging Associates Past Accepting new patients
University of Connecticut Health Center Past Accepting new patients
Radiology Associates of Hartford PLLC Diagnostic Radiology Past Accepting new patients

Locations

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

5 Munson Rd
Ste 110
Farmington, CT 06032
Phone (860) 679-2800

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

34 Maple St
Norwalk, CT 06850
Phone (203) 852-2000

166 Waterbury Rd
Prospect, CT 06712
Phone (203) 264-7999

385 Main St S
Southbury, CT 06488
Phone (203) 264-7999

385 Main St S
Bldg 1
Southbury, CT 06488
Phone (203) 264-7999

201 Chestnut Hill Rd
Stafford Springs, CT 06076
Phone (860) 265-6521

1389 W Main St
Waterbury, CT 06708
Phone (203) 264-7999

Interoperability endpoints

  • Direct secure messaging: bjagjivan3006579@direct.trinity-health.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 10

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1619973823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 MAIN ST SOUTH",
            "address_2": "UNION SQUARE BLDG #1 NVRA IMAGING NETWORK",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "06488",
            "telephone_number": "203-264-7999",
            "fax_number": "203-264-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 MAIN ST SOUTH",
            "address_2": "UNION SQUARE BLDG #1 NVRA IMAGING NETWORK",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "06488",
            "telephone_number": "203-264-7999",
            "fax_number": "203-264-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGJIVAN",
        "first_name": "BIPINCHANDRA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "029720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

Verify at the official NPI Registry.