NPIMap

Individual provider Active NPI

Christopher Jon Leary, MD

  • Diagnostic Radiology Physician
  • Bristol, CT
National Provider Identifier
1710997481
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35362 Issued in CT
Practice address
25 Collins Rd
Bristol, CT 06010
Phone
(860) 584-0541
Fax
(860) 584-9998
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35362 CT Primary

Addresses

Primary practice location

25 Collins Rd
Bristol, CT 06010

Mailing address

985 Farmington Ave
PO Box 277
Bristol, CT 06011-0277
Phone (860) 584-1320

Other identifiers 1

IdentifierTypeStateIssuer
001353622MedicaidCT

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
I20100927001486 CT Practitioner - Diagnostic Radiology 9436042579 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Creighton University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Imaging Specialists LLCGroup PAC ID 9234676164, 47 clinicians
Danbury Radiological Associates, PCGroup PAC ID 2264408533, 35 clinicians
Radiologic Associates PCGroup PAC ID 6901799097, 6 clinicians
Premier Imaging LLCGroup PAC ID 8820403637, 42 clinicians

Practice addresses (Care Compare)

114 Woodland St
Hartford, CT 06105-1208
Phone (203) 426-3002

24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 739-7532

25 Collins Rd
Bristol, CT 06010-3893
Phone (860) 584-0541

34 Maple St
Norwalk, CT 06850-3815
Phone (203) 748-0834

Hospital & facility affiliations

  • Bristol Hospital Hospital, Bristol, CT, CCN 070029
  • Danbury Hospital Hospital, Danbury, CT, CCN 070033
  • St Francis Hospital & Medical Center Hospital, Hartford, CT, CCN 070002
  • Johnson Memorial Hospital Hospital, Stafford Springs, CT, CCN 070008

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
35362CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Danbury Radiological Associates, PC Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
Premier Imaging LLC Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
Radiologic Associates PC Diagnostic Radiology CurrentSince Jan 1, 2002 Accepting new patients
Advanced Imaging Specialists, LLC Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Connecticut Breast Imaging PC Diagnostic Radiology Past Accepting new patients
Jefferson Radiology, PC Diagnostic Radiology Past Accepting new patients

Locations

25 Collins Rd
Bristol, CT 06010
Phone (860) 584-0541

730 Federal Rd
Brookfield, CT 06804
Phone (203) 791-9011

90 Locust Ave
Ste 1
Danbury, CT 06810
Phone (203) 792-5005

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

34 Maple St
Norwalk, CT 06850
Phone (203) 852-2000

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-jefferson

Organizations & group practices 6

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1710997481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 FARMINGTON AVE",
            "address_2": "PO BOX 277",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060110277",
            "telephone_number": "860-584-1320",
            "fax_number": "860-584-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 COLLINS RD",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "06010",
            "telephone_number": "860-584-0541",
            "fax_number": "860-584-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEARY",
        "first_name": "CHRISTOPHER",
        "middle_name": "JON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "35362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001353622",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.