Active NPI
Wayne J Gilbertie, MD
- Diagnostic Radiology Physician
- Springfield, MA
National Provider Identifier
1912937822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 156626
- Practice address
- 1350 Main St Ste 1007
Springfield, MA 01103-1664 - Phone
- (413) 827-7400
- Fax
- (413) 827-7407
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 028265 | CT | |
| Diagnostic Radiology Physician | 2085R0202X | 156626 | MA | Primary |
Addresses
Primary practice location
1350 Main St Ste 1007
Springfield, MA 01103-1664
Mailing address
1350 Main St Ste 1007
Springfield, MA 01103-1664
Phone (413) 827-7400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3199606 | Medicaid | MA | |
| 003111789 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028265 | CT | MD | Diagnostic Radiology Physician |
| 156626 | MA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology & Imaging, Inc. | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Springfield, MA
- NPI 1851552905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334188800000",
"number": "1912937822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 MAIN ST STE 1007",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011031664",
"telephone_number": "413-827-7400",
"fax_number": "413-827-7407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 MAIN ST STE 1007",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011031664",
"telephone_number": "413-827-7400",
"fax_number": "413-827-7407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERTIE",
"first_name": "WAYNE",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2012-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CT",
"license": "028265",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "156626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3199606",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003111789",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.