Individual provider Active NPI

William J. Glucksman, M.D.

  • Diagnostic Radiology Physician
  • Hartford, CT
National Provider Identifier
1720064249
Registry record updated Jan 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
031766 Issued in CT
Practice address
85 Seymour St
Suite 200
Hartford, CT 06106-5501
Phone
(860) 289-3375
Fax
(860) 560-2849
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2018

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 246200 MA
Diagnostic Radiology Physician 2085R0202X 031766 CT Primary

Addresses

Primary practice location

85 Seymour St
Suite 200
Hartford, CT 06106-5501

Mailing address

111 Founders PLZ
Suite 400
East Hartford, CT 06108-3212
Phone (860) 291-6554

Other identifiers 3

IdentifierTypeStateIssuer
001317660MedicaidCT
A2516306OtherCTOXFORD
010031766CT01OtherCTANTHEM BC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051013000578 CT Practitioner - Diagnostic Radiology 5799689501 Reassigns benefits to 4 organizations
I20110527000458 MA Practitioner - Diagnostic Radiology 5799689501 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
031766CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Nov 1, 2020 Accepting new patients
Chelmsford MRI, P.C. Diagnostic Radiology CurrentSince Feb 28, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 1, 2020 Accepting new patients
Connecticut Imaging Partners, LLC Diagnostic Radiology CurrentSince Oct 1, 2005 Accepting new patients
Tic, LLC Diagnostic Radiology CurrentSince Sep 1, 2016 Accepting new patients
Chelmsford MRI, P.C. Diagnostic Radiology CurrentSince Feb 28, 2020 Accepting new patients
Compass Medical PC CurrentSince Apr 4, 2022 Accepting new patients
Compass Medical PC CurrentSince Apr 4, 2022 Accepting new patients
Farmington Imaging Center, LLC Diagnostic Radiology CurrentSince Oct 3, 2016 Accepting new patients
Tolland Imaging Center, LLC Diagnostic Radiology Past Accepting new patients

Locations

100 Simsbury Rd
Ste 101
Avon, CT 06001
Phone (860) 678-8527

399 Farmington Ave
Lowr 1
Farmington, CT 06032

704 Hebron Ave
Ste 100
Glastonbury, CT 06033
Phone (860) 659-9595

85 Seymour St
Hartford, CT 06106
Phone (860) 246-4029

85 Seymour St
Ste 200
Hartford, CT 06106
Phone (860) 246-6589

111 Founders Plz
Ste 400
Hartford, CT 06108
Phone (860) 291-6554

6 Fieldstone Cmns
Ste E
Tolland, CT 06084
Phone (860) 896-4847

941 Farmington Ave
West Hartford, CT 06107
Phone (860) 231-1900

1260 Silas Deane Hwy
Ste 104
Wethersfield, CT 06109
Phone (860) 563-7844

187 Billerica Rd
Chelmsford, MA 01824
Phone (978) 250-1866

200 Providence Hwy
Ste 210
Dedham, MA 02026
Phone (781) 329-0600

1 Donalds Way
Ste 105
East Bridgewater, MA 02333
Phone (508) 350-2200

1 Donalds Way
Ste 102
East Bridgewtr, MA 02333
Phone (508) 350-2100

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

8 Commerce Blvd
Middleboro, MA 02346
Phone (774) 260-9300

54 Miller St
Ste 200
Quincy, MA 02169
Phone (617) 481-3200

3640 Main St
Ste 101
Springfield, MA 01107
Phone (413) 781-9000

115 W Silver St
Westfield, MA 01085
Phone (413) 562-3444

Interoperability endpoints

  • Direct secure messaging: william.glucksman@xdr.hhchealthdirect.org

Organizations & group practices 11

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 6

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

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Vermont College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Imaging Partners LLC 105 clinicians
Jefferson Radiology PC 121 clinicians
Farmington Imaging Center LLC 68 clinicians
Tic LLC 52 clinicians

Practice addresses (Care Compare)

100 Simsbury Rd
Avon, CT 06001-3793
Phone (860) 289-3375

1260 Silas Deane Hwy
Suite 104
Wethersfield, CT 06109-4363
Phone (860) 289-3375

1260 Silas Deane Hwy 100
Wethersfield, CT 06109-4363
Phone 860289337587099

130 Division St
Derby, CT 06418-1326
Phone (203) 735-7421

2800 Tamarack Ave
Suite 105
South Windsor, CT 06074-5553
Phone (860) 289-3375

320 Pomfret St
Putnam, CT 06260-1836
Phone (860) 928-6541

399 Farmington Ave
Farmington, CT 06032-1936
Phone (860) 289-3375

6 Fieldstone CMNS
Suite E
Tolland, CT 06084-3419
Phone (860) 896-4848

704 Hebron Ave
Suite 100
Glastonbury, CT 06033-5020
Phone (860) 289-3375

71 Haynes St
Manchester, CT 06040-4131
Phone (860) 289-3375

85 Seymour St
Suite 200
Hartford, CT 06106-5509
Phone (860) 289-3375

941 Farmington Ave
West Hartford, CT 06107-2203
Phone (860) 289-3375

Hospital & facility affiliations

  • Hartford Hospital Hospital, Hartford, CT, CCN 070025
  • Day Kimball Hospital Hospital, Putnam, CT, CCN 070003
  • Manchester Memorial Hospital Hospital, Manchester, CT, CCN 070027
  • Griffin Hospital Hospital, Derby, CT, CCN 070031

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515974400000",
    "number": "1720064249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FOUNDERS PLZ",
            "address_2": "SUITE 400",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083212",
            "telephone_number": "860-291-6554",
            "fax_number": "860-783-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST",
            "address_2": "SUITE 200",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065501",
            "telephone_number": "860-289-3375",
            "fax_number": "860-560-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUCKSMAN",
        "first_name": "WILLIAM",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2018-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "246200",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "031766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001317660",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "A2516306",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "010031766CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.