Individual provider Active NPI

Kameron Robert Shahid, M.D.

  • Diagnostic Radiology Physician
  • Middletown, CT
National Provider Identifier
1730408261
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
55445 Issued in CT
Practice address
57 S Main St
Middletown, CT 06457-3606
Phone
(860) 346-8481
NPI assigned
May 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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 55445 CT Primary

Addresses

Primary practice location

57 S Main St
Middletown, CT 06457-3606

Mailing address

57 S Main St
Middletown, CT 06457-3606
Phone (860) 346-8481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20161014001084 CT Practitioner - Diagnostic Radiology 2769794189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guilford Radiology LLCGroup PAC ID 2668722513, 10 clinicians
Radiologic Associates of Middletown PCGroup PAC ID 5799765186, 32 clinicians

Practice addresses (Care Compare)

1591 Boston Post Rd
Suite 106
Guilford, CT 06437-4335
Phone (203) 453-5123

57 S Main St
Middletown, CT 06457-3606
Phone (860) 346-8481

Hospital & facility affiliations

  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
58.72
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55445CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guilford Radiology LLC Diagnostic Radiology CurrentSince Aug 1, 2018 Accepting new patients
Radiologic Associates of Middletown PC Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients

Locations

1591 Boston Post Rd
Ste 106
Guilford, CT 06437

2A Samson Rock Dr
Madison, CT 06443
Phone (203) 245-5904

12 Jones Hollow Rd
Marlborough, CT 06447
Phone (860) 358-3200

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

534 Saybrook Rd
Middletown, CT 06457
Phone (860) 358-2500

250 Flat Rock Pl
Westbrook, CT 06498
Phone (860) 358-3640

Interoperability endpoints

  • Direct secure messaging: kshahid18429@middlesexhealthprd.direct-ci.com

Organizations & group practices 2

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 1

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": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1730408261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573606",
            "telephone_number": "860-346-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573606",
            "telephone_number": "860-346-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHID",
        "first_name": "KAMERON",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-24",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "55445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.