NPIMap

Individual provider Active NPI

Jay Michael Colby, MD

  • Diagnostic Radiology Physician
  • Westerly, RI
National Provider Identifier
1659356533
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD11174 Issued in RI
Practice address
25 Wells Street
The Westerly Hospital
Westerly, RI 02891-2460
Phone
(860) 415-9248
Fax
(860) 415-9237
NPI assigned
Dec 13, 2005
Last updated
Jul 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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 MD11174 RI Primary

Addresses

Primary practice location

25 Wells Street
The Westerly Hospital
Westerly, RI 02891-2460

Mailing address

PO Box 609
Ledyard, CT 06339-0609
Phone (860) 415-9248

Other identifiers 1

IdentifierTypeStateIssuer
JC21238MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20170927001578 TN Practitioner - Diagnostic Radiology 5395737688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Hahnemann University College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Imaging Associates of Oak Ridge PCGroup PAC ID 4082696273, 16 clinicians

Practice addresses (Care Compare)

990 Oak Ridge Tpke
Oak Ridge, TN 37830-6976
Phone 86673056192240

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Imaging Associates of Oak Ridge PC Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
Coastal Imaging LLC Diagnostic Radiology Past Accepting new patients
North Stonington Health Center, Inc Past Accepting new patients
Toll Gate Radiology II, LLC Diagnostic Radiology PastSince Dec 1, 2010 Accepting new patients
Toll Gate Radiology Inc Diagnostic Radiology Past Accepting new patients

Locations

601 Dodds Ave
Chattanooga, TN 37404
Phone (423) 629-9783

421 S Main St
Crossville, TN 38555
Phone (931) 260-1465

990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000

Organizations & group practices 5

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 5

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1659356533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "LEDYARD",
            "state": "CT",
            "postal_code": "063390609",
            "telephone_number": "860-415-9248",
            "fax_number": "860-415-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WELLS STREET",
            "address_2": "THE WESTERLY HOSPITAL",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912460",
            "telephone_number": "860-415-9248",
            "fax_number": "860-415-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBY",
        "first_name": "JAY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "MD11174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "JC21238",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

Verify at the official NPI Registry.