NPIMap

Individual provider Active NPI

Marcin Konrad Kolber, M.D.

  • Vascular & Interventional Radiology Physician
  • Dallas, TX
National Provider Identifier
1710240684
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
R8032 Issued in TX
Practice address
5323 Harry Hines Blvd.
Dallas, TX 75390
Phone
(214) 645-8995
NPI assigned
Jun 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X R8032 TX Primary

Addresses

Primary practice location

5323 Harry Hines Blvd.
Dallas, TX 75390

Mailing address

PO Box 845347
Dallas, TX 75284-5347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20220929002221 CT Practitioner - Diagnostic Radiology 1759634181 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Virginia Commonwealth University, School of Medicine, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Starling Physicians, PLLCGroup PAC ID 7517863749, 276 clinicians
Midstate Radiology Associates LLCGroup PAC ID 4880593565, 89 clinicians
Meriden Imaging Center IncGroup PAC ID 4385683556, 56 clinicians

Practice addresses (Care Compare)

375 Willard Ave
Newington, CT 06111-2300
Phone (860) 258-3480

435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 949-2700

863 N Main St Ext
Wallingford, CT 06492-2434

Hospital & facility affiliations

  • William W Backus Hospital Hospital, Norwich, CT, CCN 070024
  • The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035
  • Windham Community Memorial Hospital Hospital, Willimantic, CT, CCN 070021
  • Midstate Medical Center Hospital, Meriden, CT, CCN 070017
  • Hartford Hospital Hospital, Hartford, CT, CCN 070025

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
82.26
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.37 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Imaging Services of CT, LLC Vascular & Interventional Radiology CurrentSince Oct 1, 2022 Accepting new patients
Meriden Imaging Center, Inc. Vascular & Interventional Radiology CurrentSince Oct 1, 2022 Accepting new patients
Midstate Radiology Associates, LLC Vascular & Interventional Radiology CurrentSince Oct 1, 2022 Accepting new patients
Starling Physicians, PLLC CurrentSince Oct 1, 2024 Accepting new patients
Starling Physicians PLLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

680 S Main St
Cheshire, CT 06410
Phone (203) 272-3595

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

375 Willard Ave
Newington, CT 06111
Phone (860) 666-5252

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

1 Towne Park Plz
Norwich, CT 06360
Phone (860) 886-1433

863 N Main Street Ext
Wallingford, CT 06492

101 N Plains Rd
Wallingford, CT 06492
Phone (203) 265-0018

Interoperability endpoints

  • Direct secure messaging: marcin.kolber@xdr.hhchealthdirect.org

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 10

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": "1339804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1710240684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752845347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD.",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75390",
            "telephone_number": "214-645-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLBER",
        "first_name": "MARCIN",
        "middle_name": "KONRAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-16",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "R8032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.