Carolyn Ajemian, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

038039 Issued in CT

Practice address

385 Main St South
Union Square
Southbury, CT 06488

Phone

(203) 264-7999

Fax

(203) 264-7477

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Electronic endpoints 1

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

Specialty

Diagnostic Radiology

Education

Eastern Virginia Medical School, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Naugatuck Valley MRI LLC 7 clinicians

Diagnostic Imaging Associates LLC 10 clinicians

Prospect Diagnostic Imaging 10 clinicians

Diagnostic Imaging of Southbury 11 clinicians

Naugatuck Valley Radiological Associates PC 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Mary'S Hospital Hospital, Waterbury, CT, CCN 070016
• Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
• Waterbury Hospital Hospital, Waterbury, CT, CCN 070005
• Griffin Hospital Hospital, Derby, CT, CCN 070031

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Diagnostic Imaging Associates LLC

  • Radiology Clinic/Center
  • Waterbury, CT
  • NPI 1336161918

  CT

  Medicare reassignment Care Compare group NPD
• Diagnostic Imaging of Southbury

  • Radiology Clinic/Center
  • Southbury, CT
  • NPI 1245252824

  CT

  Medicare reassignment Care Compare group NPD
• Naugatuck Valley MRI LLC

  • Diagnostic Radiology Physician
  • Waterbury, CT
  • NPI 1134141716

  CT, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Naugatuck Valley Radiological Associates PC

  • Diagnostic Radiology Physician
  • Waterbury, CT
  • NPI 1114949799

  CT, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Prospect Diagnostic Imaging

  • Radiology Clinic/Center
  • Prospect, CT
  • NPI 1154343739

  CT

  Medicare reassignment Care Compare group NPD
• Health Imaging Associates

  • Mammography Clinic/Center
  • Waterbury, CT
  • NPI 1356363931
  NPD (past)
• Naugatuck Valley Computerized Imaging

  • Radiology Clinic/Center
  • Waterbury, CT
  • NPI 1225050800
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prospect Waterbury, Inc.

  • General Acute Care Hospital
  • Waterbury, CT
  • NPI 1477902641

  Hospital

  Care Compare affiliation
• Saint Mary'S Hospital, Inc.

  • General Acute Care Hospital
  • Waterbury, CT
  • NPI 1760426969

  Hospital

  Care Compare affiliation
• The Griffin Hospital

  • General Acute Care Hospital
  • Derby, CT
  • NPI 1184639973

  Hospital

  Care Compare affiliation
• Yale New Haven Hospital

  • General Acute Care Hospital
  • New Haven, CT
  • NPI 1336139500

  Hospital

  Care Compare affiliation
• Yale New Haven Hospital

  • General Acute Care Hospital
  • New Haven, CT
  • NPI 1578778726

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1699707018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 MAIN ST SOUTH",
            "address_2": "C/O NVRA IMAGING NETWORK UNION SQUARE BLDG #1",
            "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",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "06488",
            "telephone_number": "203-264-7999",
            "fax_number": "203-264-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJEMIAN",
        "first_name": "CAROLYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "CT",
            "license": "038039",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CT",
            "license": "038039",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "038039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - PDI",
            "identifier": "300003221",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001380394",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cajemian223955@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 South",
            "address_2": "Union Square",
            "city": "Southbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "06488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• A&C Medcial Supplies & Equipment,Inc
• ABA Made Ez LLC
• Florentino Abueg, MD
• Aesthetique, Cosmetic and Laser Surgery Center, LLC
• Saira Afzal, PHYSICAL THERAPIST
• Amara Akbar, OD
• Kelly Albrecht
• Cathleen Anne Alex, AU.D.
• Alexandra Lins Acupuncture Center, LLC
• Hyotae An

• All providers in Southbury, CT
• Diagnostic Radiology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.