NPIMap

Individual provider Active NPI

Devrim Ersahin

  • Diagnostic Radiology Physician
  • New Haven, CT
National Provider Identifier
1700061686
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
050371 Issued in CT
Practice address
20 York St
New Haven, CT 06510-3220
Phone
(203) 785-5253
NPI assigned
Jan 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 050371 CT Primary
Nuclear Medicine Physician 207U00000X 050371 CT

Addresses

Primary practice location

20 York St
New Haven, CT 06510-3220

Mailing address

333 Cedar St
P.O. Box 208042
New Haven, CT 06510-3206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20161227001183 CT Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 3577844927 Reassigns benefits to 1 organization
I20170619000306 MA Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 3577844927 Reassigns benefits to 1 organization
I20250527000573 CT Practitioner - Nuclear MedicinePractitioner - Diagnostic Radiology 3577844927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology and Imaging IncGroup PAC ID 9234110479, 58 clinicians
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

113 Elm St
Suite 206
Enfield, CT 06082-3738
Phone (860) 741-2177

20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242

759 Chestnut St
Springfield, MA 01107-1619
Phone (413) 827-7400

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

State licenses

LicenseStateTypeSpecialty
050371CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate MRI & Imaging Center, LLC CurrentSince Jul 3, 2017 Accepting new patients
Franklin MRI Center LLC CurrentSince May 24, 2022 Accepting new patients
Franklin MRI Center LLC CurrentSince Jul 3, 2017 Accepting new patients
Radiology & Imaging, Inc. Diagnostic Radiology CurrentSince Jul 3, 2017 Accepting new patients

Locations

113 Elm St
Ste 206
Enfield, CT 06082
Phone (860) 741-2177

1350 Main St
Ste 1007
Springfield, MA 01103
Phone (413) 495-1129

759 Chestnut St
Springfield, MA 01107
Phone (413) 794-6297

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1700061686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CEDAR ST",
            "address_2": "P.O. BOX 208042",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-785-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERSAHIN",
        "first_name": "DEVRIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-09",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "050371",
            "primary": true
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "CT",
            "license": "050371",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.