Individual provider Active NPI

Robert Gerard Connolly, MD

  • Body Imaging Physician
  • Camp Pendleton, CA
National Provider Identifier
1841268174
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
G69229 Issued in CA
Practice address
Naval Hospital Camp Pendleton
BLDG H100 Code 094
Camp Pendleton, CA 92055
Phone
(760) 725-1330
NPI assigned
Mar 11, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X G69229 CA Primary

Addresses

Primary practice location

Naval Hospital Camp Pendleton
BLDG H100 Code 094
Camp Pendleton, CA 92055

Mailing address

10661 Hunters Glen Dr
San Diego, CA 92130-4851
Phone (858) 793-1259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH, CA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20211011000466 FL Practitioner - Diagnostic Radiology 9638577398 Reassigns benefits to 8 organizations
I20221021001001 OH Practitioner - Diagnostic Radiology 9638577398 Reassigns benefits to 2 organizations
I20221205002584 CA Practitioner - Diagnostic Radiology 9638577398 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proscan NCH Imaging LLCGroup PAC ID 6103233051, 104 clinicians
Fresno Imaging CenterGroup PAC ID 2466553128, 127 clinicians
Desert Advanced Imaging Medical CenterGroup PAC ID 6406749613, 209 clinicians
Proscan Radiology, LLCGroup PAC ID 5799680807, 59 clinicians

Practice addresses (Care Compare)

1020 Crosspointe Dr
Suite 103
Naples, FL 34110-0918
Phone (239) 598-0035

14297 Laguna Springs LN
Naples, FL 34114-8997
Phone (877) 785-0009

25395 Hancock Ave
Suite 110
Murrieta, CA 92562-9054
Phone (951) 696-4230

500 Marbrisa Dr
Vero Beach, FL 32963-4278
Phone (844) 866-2718

5400 Kennedy Ave
Cincinnati, OH 45213-2664
Phone (513) 351-3000

6107 N Fresno St
Suite 101
Fresno, CA 93710-8617
Phone (559) 435-4433

801 S Main St
Suite 101
Corona, CA 92882-3410
Phone (951) 682-1099

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
19.04 of 100Reported as group
Quality
4.75
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.25 of 100Reported as apm
Quality
87.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G69229CAMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proscan NCH Imaging LLC CurrentSince Sep 1, 2021 Accepting new patients
Western Hills Open MRI, LLC CurrentSince Jul 13, 2022 Accepting new patients
Nchmd, Inc CurrentSince Feb 10, 2024 Accepting new patients
Proscan Imaging of Troy, LLC CurrentSince Jul 13, 2022 Accepting new patients
Dublin Diagnostic Imaging LLC CurrentSince Jul 13, 2022 Accepting new patients
Stadium Open MRI, LLC CurrentSince Jul 13, 2022 Accepting new patients
Proscan Open MRI North, LTD. CurrentSince Jul 12, 2022 Accepting new patients
Cincinnati Imaging Leasing Company, LTD. CurrentSince Jul 13, 2022 Accepting new patients
CT at Midtown CurrentSince Jul 13, 2022 Accepting new patients
Proscan Radiology, LLC CurrentSince Jul 13, 2022 Accepting new patients
Proscan Imaging of Pickerington, LLC CurrentSince Jul 13, 2022 Accepting new patients
Beverly Radiology Medical Group III CurrentSince Dec 1, 2022 Accepting new patients
Proscan NCH Imaging LLC CurrentSince Sep 1, 2021 Accepting new patients
Kern Radiology Medical Group, Inc Current Accepting new patients
Kern Radiology Medical Group, Inc CurrentSince Dec 1, 2022 Accepting new patients
Dublin Diagnostic Imaging LLC CurrentSince Jul 13, 2022 Accepting new patients
Nchmd Inc CurrentSince Feb 10, 2024 Accepting new patients
Proscan Open MRI East, LTD. CurrentSince Jul 13, 2022 Accepting new patients
Proscan Imaging Gahanna, LLC CurrentSince Jul 13, 2022 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Dec 1, 2022 Accepting new patients
Proscan Tylersville, LLC CurrentSince Jul 13, 2022 Accepting new patients
Open Air MRI Centers Medical Group, Inc. Past Accepting new patients
Colorado River Radiology PC Past Accepting new patients
Imaging Healthcare Specialists Medical Group, Inc. PastSince Oct 14, 2013 Accepting new patients

Locations

4915 E Baseline Rd
Ste 116
Gilbert, AZ 85234
Phone (480) 354-9200

2301 Bahamas Dr
Bakersfield, CA 93309

3838 San Dimas St
Ste A120
Bakersfield, CA 93301
Phone (661) 328-9600

9330 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 325-6800

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

27168 Newport Rd
Ste B
Menifee, CA 92584
Phone (951) 566-5725

1020 Crosspointe Dr
Ste 103
Naples, FL 34110
Phone (239) 624-4443

1285 Creekside Blvd E
Unit 102
Naples, FL 34109
Phone (239) 624-0310

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

801 Vanderbilt Beach Rd
Naples, FL 34108
Phone (239) 594-7636

345 Woodcliff Dr
Fairport, NY 14450

5400 Kennedy Ave
Cincinnati, OH 45213
Phone (513) 281-3400

Networks

  • Freedom Health HMO Network

Organizations & group practices 30

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.

View all 30

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": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1841268174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10661 HUNTERS GLEN DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921304851",
            "telephone_number": "858-793-1259",
            "fax_number": "858-793-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL HOSPITAL CAMP PENDLETON",
            "address_2": "BLDG H100 CODE 094",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "760-725-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "ROBERT",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "CA",
            "license": "G69229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Pendleton, CA

Sources for this page

Verify at the official NPI Registry.