Bipinchandra Jagjivan
Individual provider Active NPI Diagnostic Radiology Physician · Southbury, CT
NPI 1619973823 · NPPES record last updated Aug 22, 2014
Key facts
- NPI
- 1619973823
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 029720 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Imaging Specialists LLC
University of Connecticut Health Center
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
- St Francis Hospital & Medical Center
- John Dempsey Hospital of the University of Connect
- Johnson Memorial Hospital
- Hartford Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060420000326 | CT | Practitioner - Diagnostic Radiology | 9032128962 | Reassigns benefits to 10 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029720 | CT | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Connecticut | Current | Accepting new patients | |
| Advanced Imaging Specialists, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| University of Connecticut Health Center | Diagnostic Radiology | Current |
Accepting new patients |
| Diagnostic Imaging Associates LLC | Current |
Accepting new patients | |
| State of Connecticut | Current |
Accepting new patients | |
| Diagnostic Imaging of Southbury | Current |
Accepting new patients | |
| Premier Imaging LLC | Diagnostic Radiology | Current |
Accepting new patients |
| University of Connecticut Health Center | Current |
Accepting new patients | |
| Uconn Health Imaging, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Prospect Diagnostic Imaging | Current |
Accepting new patients | |
| State of Connecticut | Current |
Accepting new patients | |
| University of Connecticut Health Center | Past | Accepting new patients | |
| Naugatuck Valley Computerized Imaging | Past | Accepting new patients | |
| Radiology Associates of Hartford PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Health Imaging Associates | 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
Bldg 1
Southbury, CT 06488
Phone (203) 264-7999
385 Main St S
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
- bjagjivan3006579@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 029720 | CT | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001297200 | Medicaid | CT |
Other providers in Southbury, CT
- Inclusive Pathways Project LLC
- Diosadora Austria Infante
- Maureen Insalaco
- J & J Best Care at Home, Inc.
- Jack Zazzaro DMD LLC
- Alyson Jamel
- Janine Gundel, LLC
- Agata Jaskiewicz-Poznanska
- Karlene Jean-Pierre
- Jeff Cersonsky, MD, Faap
All providers in Southbury, CT · Diagnostic Radiology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.