Eran Rotem, MD MPH

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

57199 Issued in CT

Practice address

1 Corporate Dr Ste 325
Shelton, CT 06484-6295

Phone

(203) 696-3642

Fax

(203) 337-9731

NPI assigned

Jul 7, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT, NY2 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

Specialty

Interventional Radiology

Education

Washington University School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Radiology Consultants LLCGroup PAC ID 9436140563, 32 clinicians

Bridgeport Radiological Associates LLCGroup PAC ID 0941291082, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Vincent'S Medical Center Hospital, Bridgeport, CT, CCN 070028
• Hartford Hospital Hospital, Hartford, CT, CCN 070025
• Griffin Hospital Hospital, Derby, CT, CCN 070031

Merit-based Incentive Payment System (MIPS)

Final score

88.32 of 100Reported as group

Quality

78.69

Improvement activities

40

Cost

74.94

Merit-based Incentive Payment System (MIPS)

Final score

89.02 of 100Reported as group

Quality

87.08

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eran.rotem@xdr.hhchealthdirect.org
• FHIR API: https://app.meldrx.com/api/fhir/ei-jefferson

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.

• Advanced Radiology Consultants LLC

  • Diagnostic Radiology Physician
  • Shelton, CT
  • NPI 1710991617
  Medicare reassignment Care Compare group NPD
• Bridgeport Radiological Associates LLC

  • Diagnostic Radiology Physician
  • Shelton, CT
  • NPI 1962488981
  Medicare reassignment Care Compare group NPD
• Advanced Radiology MRI Centers LP

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Shelton, CT
  • NPI 1003820911

  Diagnostic Radiology

  Medicare reassignment NPD
• Connecticut Imaging Partners, LLC

  • Diagnostic Radiology Physician
  • Wethersfield, CT
  • NPI 1740315761
  Medicare reassignment NPD
• Farmington Imaging Center, LLC

  • Diagnostic Radiology Physician
  • Farmington, CT
  • NPI 1275987802
  Medicare reassignment NPD
• Jefferson Radiology, PC

  • Diagnostic Radiology Physician
  • Hartford, CT
  • NPI 1396795951
  Medicare reassignment NPD
• Tic, LLC

  • Diagnostic Radiology Physician
  • Tolland, CT
  • NPI 1457702813
  Medicare reassignment NPD
• Westchester-Ellenville Hospital, Inc.

  • Critical Access Hospital
  • Ellenville, NY
  • NPI 1073525341
  Medicare reassignment NPD
• Uconn Health Imaging, LLC

  • Radiology Clinic/Center
  • Farmington, CT
  • NPI 1821778416

  Diagnostic Radiology

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hartford Hospital

  • General Acute Care Hospital
  • Hartford, CT
  • NPI 1770696643
  Care Compare affiliation
• Hartford Hospital

  • General Acute Care Hospital
  • Hartford, CT
  • NPI 1902834880
  Care Compare affiliation
• SVMC Holdings, Inc

  • General Acute Care Hospital
  • Bridgeport, CT
  • NPI 1942224696
  Care Compare affiliation
• The Griffin Hospital

  • General Acute Care Hospital
  • Derby, CT
  • NPI 1184639973
  Care Compare affiliation

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1912294182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CORPORATE DR STE 325",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846295",
            "telephone_number": "203-696-3642",
            "fax_number": "203-337-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CORPORATE DR STE 325",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846295",
            "telephone_number": "203-696-3642",
            "fax_number": "203-337-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTEM",
        "first_name": "ERAN",
        "credential": "MD MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "57199",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CT",
            "license": "57199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah L S Rosasco, M.D.
• Roshani Treadwell,LMFT,LLC
• Mark Rosovsky, MD
• Lawrence A Ross, D.D.S.
• Alyssa Rosso, PA-C
• Nicholas Rotolo
• Rebecca Rotondo, LCSW
• Stephanie J Rowe, D.O.
• Charlyne Roye
• Dmitry Roytman, L.O.

• Vascular & Interventional Radiology Physician in Shelton, CT
• Providers in Shelton, CT by specialty
• Vascular & Interventional Radiology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.