NPIMap

Organization Active NPI

Western Connecticut Health Network Affiliates, Inc.

Doing business as Western Connecticut Imaging

  • Radiology Clinic/Center
  • Ridgefield, CT
National Provider Identifier
1740387182
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES, INC.
Doing business as
Western Connecticut Imaging
Practice address
901 Ethan Allen Highway
Suite 104
Ridgefield, CT 06877
Phone
(203) 894-1444
Fax
(203) 739-8199
NPI assigned
Sep 20, 2006
Last updated
Jul 15, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTERN RN CONNECTICUT HEALTH NETWORK, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Daniel Debarba
Title
Chief Financial Officer
Phone
(203) 739-7240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU Primary

Addresses

Primary practice location

901 Ethan Allen Highway
Suite 104
Ridgefield, CT 06877

Mailing address

24 Hospital Avenue
Danbury, CT 06810
Phone (203) 894-1444

Other names 1

  • Western Connecticut Imaging Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170517001295 CT Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8527070705 Practice locations: Ridgefield, CT

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2005619Western Connecticut Health Network Affiliates Inc901 Ethan Allen Highway, Ridgefield, CT 06877Certificate of waiverMar 30, 2028

National Provider Directory

National Provider Directory
Tax ID family
Western Connecticut Health Network Affiliates Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

901 Ethan Allen Hwy
Ste 104
Ridgefield, CT 06877
Phone (203) 894-1444

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1740387182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HOSPITAL AVENUE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "06810",
            "telephone_number": "203-894-1444",
            "fax_number": "203-739-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ETHAN ALLEN HIGHWAY",
            "address_2": "SUITE 104",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "06877",
            "telephone_number": "203-894-1444",
            "fax_number": "203-739-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN CONNECTICUT HEALTH NETWORK AFFILIATES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN RN CONNECTICUT HEALTH NETWORK, INC.",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "DEBARBA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "203-739-7240"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Connecticut Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgefield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.