NPIMap

Individual provider Active NPI

Kenneth Albert Leopold, M.D.

  • Radiation Oncology Physician
  • Hartford, CT
National Provider Identifier
1780678078
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
037543 Issued in CT
Practice address
80 Seymour St
Hartford, CT 06102-8000
Phone
(860) 545-2803
Fax
(860) 545-1500
NPI assigned
Sep 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 037543 CT Primary

Addresses

Primary practice location

80 Seymour St
Hartford, CT 06102-8000

Mailing address

3 Mountain Estates Dr
Avon, CT 06001-2105
Phone (860) 679-9392

Other identifiers 1

IdentifierTypeStateIssuer
001375436MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100419000331 CT Practitioner - Radiation Oncology 4486781796 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Perelman School of Med at the University of Pennsylvania, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Charlotte Hungerford HospitalGroup PAC ID 4486557501, 206 clinicians
Hartford Radiation Oncology Associates PCGroup PAC ID 8921057654, 11 clinicians

Practice addresses (Care Compare)

200 Kennedy Dr
Torrington, CT 06790-3096
Phone (860) 489-6718

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 972-2803

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.05 of 100Reported as group
Quality
70.34
Promoting interoperability
100
Improvement activities
40
Cost
75.39

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Radiation Oncology Associates PC Radiation Oncology CurrentSince Apr 17, 1999 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Jul 17, 2023 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Jul 17, 2023 Accepting new patients
Radiation Oncology Physicians of Connecticut, LLC Radiation Oncology CurrentSince Jun 1, 2014 Accepting new patients
Nrron LLC Past Accepting new patients

Locations

80 Fisher Dr
Avon, CT 06001
Phone (855) 255-6181

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

100 Haynes St
#1
Manchester, CT 06040

100 Haynes St
Manchester, CT 06040
Phone (860) 533-2929

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

200 Kennedy Dr
Torrington, CT 06790
Phone (860) 482-5384

Organizations & group practices 5

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 5

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": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1780678078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MOUNTAIN ESTATES DR",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060012105",
            "telephone_number": "860-679-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061028000",
            "telephone_number": "860-545-2803",
            "fax_number": "860-545-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEOPOLD",
        "first_name": "KENNETH",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CT",
            "license": "037543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001375436",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.