Active NPI
William J. Glucksman, M.D.
- Diagnostic Radiology Physician
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 031766
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001317660 | Medicaid | CT | |
| A2516306 | Other | CT | OXFORD |
| 010031766CT01 | Other | CT | ANTHEM BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 031766 | CT | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Chelmsford MRI, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Connecticut Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Tic, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Chelmsford MRI, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Compass Medical PC | Current | Accepting new patients | |
| Compass Medical PC | Current | Accepting new patients | |
| Farmington Imaging Center, LLC | Diagnostic Radiology | Current | 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
- 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.
-
- Diagnostic Radiology Physician
- Wethersfield, CT
- NPI 1740315761
CT, Diagnostic Radiology, MA
-
- Diagnostic Radiology Physician
- Farmington, CT
- NPI 1275987802
CT, Diagnostic Radiology, MA
-
- Diagnostic Radiology Physician
- Dedham, MA
- NPI 1386662112
Diagnostic Radiology, MA
-
- Diagnostic Radiology Physician
- Springfield, MA
- NPI 1821435553
Diagnostic Radiology, MA
-
- Family Medicine Physician
- So Weymouth, MA
- NPI 1356462964
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Diagnostic Radiology Physician
- Tolland, CT
- NPI 1841470820
Diagnostic Radiology
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manchester, CT
- NPI 1881564664
Hospital
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 LLCJefferson Radiology PCFarmington Imaging Center LLCTic LLC
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
- Day Kimball Hospital
- Manchester Memorial Hospital
- Griffin Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.