Connecticut Image Guided Surgery, PC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

CONNECTICUT IMAGE GUIDED SURGERY, PC

Practice address

1152 Kings Highway Cutoff Ste 104
Fairfield, CT 06824-5273

Phone

(203) 330-0248

Fax

(203) 330-9730

NPI assigned

Mar 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gregg Miller, M.D.NPI 1942273560

Title

Authorized Official

Phone

(717) 515-4048

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

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

• Coastal Connecticut Vascular ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Fairfield, CT
  • NPI 1417780172

  Member Of

  NPD member

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Denzil Douglas, M.D.

  • Nephrology Physician
  • Fairfield, CT
  • NPI 1699161075
  Medicare reassignment Care Compare group NPD
• Joseph Aaron Gotesman, M.D.

  • Nephrology Physician
  • Flushing, NY
  • NPI 1285169490

  CT

  Medicare reassignment Care Compare group NPD
• Dietrich W.L. Schultze, M.D.

  • Vascular & Interventional Radiology Physician
  • Brighton, MA
  • NPI 1922192459

  CT

  Medicare reassignment Care Compare group NPD
• Mark Song, MD

  • Vascular Surgery Physician
  • Brooklyn, NY
  • NPI 1346227246

  CT

  Medicare reassignment Care Compare group NPD
• Gregg Arthur Miller, MD

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1942273560

  CT

  Medicare reassignment Authorized official
• Gastone Crea, MD

  • Vascular & Interventional Radiology Physician
  • Bronx, NY
  • NPI 1558367227

  CT

  Medicare reassignment NPD
• Benjamin Chandler, MD

  • Vascular Surgery Physician
  • Danbury, CT
  • NPI 1861653925
  NPD

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1730148784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416139",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416139",
            "telephone_number": "610-644-8900",
            "fax_number": "484-924-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 KINGS HIGHWAY CUTOFF STE 104",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245273",
            "telephone_number": "203-330-0248",
            "fax_number": "203-330-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT IMAGE GUIDED SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "717-515-4048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008001049",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Connecticut CVS Pharmacy, L.L.C.
• Connecticut Orthopaedic Specialists, PC
• Connecticut Orthopaedic Specialists, PC
• Connecticut Pain & Wellness Center LLC
• Connecticut Phlebology PC
• Connecticut Professional Medical Services PLLC

• Vascular & Interventional Radiology Physician in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Vascular & Interventional Radiology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.