Individual provider Active NPI

Stephen D Go, MD

  • Diagnostic Radiology Physician
  • Torrington, CT
National Provider Identifier
1801822473
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036812 Issued in CT
Practice address
220 Kennedy Dr
Torrington, CT 06790-7204
Phone
(860) 489-7314
Fax
(860) 489-7213
NPI assigned
Jun 24, 2006
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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 036812 CT Primary

Addresses

Primary practice location

220 Kennedy Dr
Torrington, CT 06790-7204

Mailing address

220 Kennedy Dr
Torrington, CT 06790-7204
Phone (860) 489-7314

Other practice location 1

590 Medical Center Road
Fort Cavazos, TX 76544
Phone (254) 553-1515

Other identifiers 2

IdentifierTypeStateIssuer
001368126MedicaidCT
26551OtherCTDEPT OF CONSUMER PROTECT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100330000973 CT Practitioner - Diagnostic Radiology 4082505052 Reassigns benefits to 1 organization
I20250124000545 TX Practitioner - Diagnostic Radiology 4082505052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Torrington Radiologists PCGroup PAC ID 2961393905, 7 clinicians

Practice addresses (Care Compare)

220 Kennedy Dr
Torrington, CT 06790-7204
Phone (860) 489-7314

4905 W Market Dr
Austin, TX 78731-5531
Phone (860) 489-7314

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as group
Quality
80.86
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036812CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Torrington Radiologists PC Diagnostic Radiology CurrentSince Jul 1, 1998 Accepting new patients

Locations

220 Kennedy Dr
Torrington, CT 06790
Phone (860) 482-8578

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

57 Commercial Blvd
Torrington, CT 06790
Phone (860) 489-7314

80 S Main St
Winsted, CT 06098
Phone (860) 482-8578

Interoperability endpoints

  • Direct secure messaging: stephen.go@xdr.hhchealthdirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1801822473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 KENNEDY DR",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067907204",
            "telephone_number": "860-489-7314",
            "fax_number": "860-489-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 KENNEDY DR",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067907204",
            "telephone_number": "860-489-7314",
            "fax_number": "860-489-7213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Medical Center Road",
            "address_purpose": "LOCATION",
            "city": "Fort Cavazos",
            "state": "TX",
            "postal_code": "76544",
            "country_code": "US",
            "telephone_number": "254-553-1515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GO",
        "first_name": "STEPHEN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "036812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001368126",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF CONSUMER PROTECT",
            "identifier": "26551",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.