Individual provider Active NPI

Paolo Olcese, MD

  • Diagnostic Radiology Physician
  • Southbury, CT
National Provider Identifier
1659393247
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
039154 Issued in CT
Practice address
385 Main St S, C/O Nvra Imaging Network
Union Square
Southbury, CT 06488-4240
Phone
(203) 264-7999
Fax
(203) 264-7477
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound Physician 2085U0001X 039154 CT
Diagnostic Radiology Physician 2085R0202X 039154 CT Primary
Body Imaging Physician 2085B0100X 039154 CT

Addresses

Primary practice location

385 Main St S, C/O Nvra Imaging Network
Union Square
Southbury, CT 06488-4240

Mailing address

385 Main St S, C/O Nvra Imaging Network
Union Square BLDG #1
Southbury, CT 06488-4240
Phone (203) 264-7999

Other identifiers 1

IdentifierTypeStateIssuer
001391549MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address polcese223819@direct.stfranciscare.org Direct

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
I20040324000886 CT Practitioner - Diagnostic Radiology 3274424551 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Vermont College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Naugatuck Valley MRI LLCGroup PAC ID 2668367756, 7 clinicians
Diagnostic Imaging Associates LLCGroup PAC ID 0143127241, 10 clinicians
Prospect Diagnostic ImagingGroup PAC ID 0244137214, 10 clinicians
Diagnostic Imaging of SouthburyGroup PAC ID 0143127548, 11 clinicians
Naugatuck Valley Radiological Associates PCGroup PAC ID 5092600189, 12 clinicians

Practice addresses (Care Compare)

1389 W Main St
Waterbury, CT 06708-3104
Phone 20326479991130

1389 W Main St
Waterbury, CT 06708-3115
Phone (203) 574-1311

166 Waterbury Rd
Prospect, CT 06712-1200
Phone (203) 758-7700

385 Main St S
Southbury, CT 06488-4240
Phone (203) 264-7999

385 Main St S
BLDG 1
Southbury, CT 06488-4246
Phone (203) 267-5114

Hospital & facility affiliations

  • Saint Mary'S Hospital Hospital, Waterbury, CT, CCN 070016
  • Griffin Hospital Hospital, Derby, CT, CCN 070031

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
039154CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Imaging Associates LLC CurrentSince Jan 1, 2001 Accepting new patients
Naugatuck Valley Radiological Associates PC Diagnostic Radiology CurrentSince Jan 1, 2001 Accepting new patients
Prospect Diagnostic Imaging CurrentSince May 1, 2002 Accepting new patients
Diagnostic Imaging of Southbury CurrentSince Jan 1, 2001 Accepting new patients
Health Imaging Associates Past Accepting new patients
Diagnostic Radiology Associates, LLC Diagnostic Radiology PastSince Mar 7, 1991 Accepting new patients
Naugatuck Valley Computerized Imaging Past Accepting new patients

Locations

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
Ofc
Southbury, CT 06488
Phone (203) 264-7999

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

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

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1659393247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 MAIN ST S, C/O NVRA IMAGING NETWORK",
            "address_2": "UNION SQUARE BLDG #1",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064884240",
            "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 S, C/O NVRA IMAGING NETWORK",
            "address_2": "UNION SQUARE",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064884240",
            "telephone_number": "203-264-7999",
            "fax_number": "203-264-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLCESE",
        "first_name": "PAOLO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CT",
            "license": "039154",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "039154",
            "primary": true
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "CT",
            "license": "039154",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001391549",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "polcese223819@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "Trinity Health of New England Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "385 Main St S, c/o NVRA Imaging Network",
            "address_2": "Union Square",
            "city": "Southbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064884240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

Verify at the official NPI Registry.