Organization Active NPI

Diagnostic Radiology Associates, LLC

  • Radiology Clinic/Center
  • Waterbury, CT
National Provider Identifier
1700837374
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
DIAGNOSTIC RADIOLOGY ASSOCIATES, LLC
Practice address
134 Grandview Ave
Waterbury, CT 06708-2507
Phone
(203) 756-8911
Fax
(203) 574-0548
NPI assigned
May 16, 2006
Last updated
Nov 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Authorized official

Name
Duncan Belcher, MDNPI 1245295054
Title
Managing Partner
Phone
(203) 756-8911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

134 Grandview Ave
Waterbury, CT 06708-2507

Mailing address

134 Grandview Ave
Waterbury, CT 06708-2507
Phone (203) 756-8911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, IL, NC, CA, NY, FL, OH, TX, WA, MT, UT, VA, PA, MA, MO, SC16 enrollments

Enrollment records 16

Enrollment IDStateProvider typePAC IDDetails
O20060629000386 CT Part B Supplier - Clinic/Group Practice 7113939505 Receives reassigned benefits from 12 practitioners
Practice locations: Middlebury, CT; Waterbury, CT
O20220930001516 IL Part B Supplier - Clinic/Group Practice 7113939505 Receives reassigned benefits from 2 practitioners
Practice locations: Chicago, IL; Lake Forest, IL; South Barrington, IL
O20221012001252 NC Part B Supplier - Clinic/Group Practice 7113939505 Receives reassigned benefits from 2 practitioners
Practice locations: Sanford, NC; Winston Salem, NC
O20221107003172 CA Part B Supplier - Clinic/Group Practice 7113939505 Receives reassigned benefits from 4 practitioners
Practice locations: Exeter, CA; Stockton, CA; Santa Monica, CA; Oceanside, CA; Claremont, CA; Carlsbad, CA
O20221109000191 NY Part B Supplier - Clinic/Group Practice 7113939505 Receives reassigned benefits from 1 practitioner
Practice locations: Howard Beach, NY; New York, NY; Saint James, NY
O20221117002990 FL Part B Supplier - Clinic/Group Practice 7113939505 Receives reassigned benefits from 3 practitioners
Practice locations: Port Saint Lucie, FL; Orlando, FL; Boca Raton, FL
O20221117003079 OH Part B Supplier - Clinic/Group Practice 7113939505 Receives reassigned benefits from 1 practitioner
Practice locations: Beavercreek, OH
O20221130000413 TX Part B Supplier - Clinic/Group Practice 7113939505 Receives reassigned benefits from 7 practitioners
Practice locations: Spring, TX; San Antonio, TX; Lakehills, TX; Fort Worth, TX; Midland, TX
O20221222001662 WA Part B Supplier - Clinic/Group Practice 7113939505 Receives reassigned benefits from 1 practitioner
Practice locations: Bremerton, WA
O20231122001251 MT Part B Supplier - Clinic/Group Practice 7113939505 Practice locations: Butte, MT
O20240924002147 UT Part B Supplier - Clinic/Group Practice 7113939505 Receives reassigned benefits from 1 practitioner
Practice locations: Bountiful, UT
O20250103000067 VA Part B Supplier - Clinic/Group Practice 7113939505 Receives reassigned benefits from 1 practitioner
Practice locations: Chesapeake, VA
O20250106003207 PA Part B Supplier - Clinic/Group Practice 7113939505 Receives reassigned benefits from 1 practitioner
Practice locations: Clarks Summit, PA
O20251001000359 MA Part B Supplier - Clinic/Group Practice 7113939505 Receives reassigned benefits from 2 practitioners
Practice locations: Boston, MA; Orleans, MA
O20260116002624 MO Part B Supplier - Clinic/Group Practice 7113939505 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, MO
O20260122002671 SC Part B Supplier - Clinic/Group Practice 7113939505 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Pleasant, SC

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

134 Grandview Ave
Ste 101
Waterbury, CT 06708
Phone 2035969793254

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1700837374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 GRANDVIEW AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082507",
            "telephone_number": "203-756-8911",
            "fax_number": "203-574-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 GRANDVIEW AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082507",
            "telephone_number": "203-756-8911",
            "fax_number": "203-574-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC RADIOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "BELCHER",
        "authorized_official_first_name": "DUNCAN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "203-756-8911",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.