NPIMap

Organization Active NPI

Radiology Associates of Hartford PLLC

  • Diagnostic Radiology Physician
  • Hartford, CT
National Provider Identifier
1942234893
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGY ASSOCIATES OF HARTFORD PLLC
Practice address
114 Woodland St
Radiology Department
Hartford, CT 06105-1208
Phone
(860) 969-6400
NPI assigned
Jul 10, 2006
Last updated
Dec 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Authorized official

Name
Michael Firestone, M.D.NPI 1558357137
Title
President
Phone
(860) 969-6400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X NU
Body Imaging Physician 2085B0100X NU
Neuroradiology Physician 2085N0700X NU
Diagnostic Radiology Physician 2085R0202X NU Primary
Vascular & Interventional Radiology Physician 2085R0204X NU
Diagnostic Ultrasound Physician 2085U0001X NU

Addresses

Primary practice location

114 Woodland St
Radiology Department
Hartford, CT 06105-1208

Mailing address

1000 Asylum Ave
Suite 3201E
Hartford, CT 06105-1770
Phone (860) 969-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA, FL, IL, MI, AZ, PR, OR, RI, DC10 enrollments

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
O20040302000734 CT Part B Supplier - Clinic/Group Practice 6002703246 Receives reassigned benefits from 35 practitioners
Practice locations: Rocky Hill, CT; West Hartford, CT; Ridgefield, CT; Hartford, CT; Somers, CT; South Glastonbury, CT; Stafford Springs, CT; Tolland, CT…
O20200831000970 MA Part B Supplier - Clinic/Group Practice 6002703246 Receives reassigned benefits from 3 practitioners
Practice locations: Boston, MA; Brookline, MA; Hopkinton, MA; Jamaica Plain, MA; Longmeadow, MA; Needham, MA; Newton, MA; Southwick, MA…
O20200916001746 FL Part B Supplier - Clinic/Group Practice 6002703246 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Springs, FL; Lutz, FL; Seminole, FL
O20200930002000 IL Part B Supplier - Clinic/Group Practice 6002703246 Receives reassigned benefits from 1 practitioner
Practice locations: Libertyville, IL
O20201006000327 MI Part B Supplier - Clinic/Group Practice 6002703246 Receives reassigned benefits from 2 practitioners
Practice locations: Ann Arbor, MI; Grosse Pointe Farms, MI; West Bloomfield, MI
O20201202001060 AZ Part B Supplier - Clinic/Group Practice 6002703246 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ
O20210107000254 PR Part B Supplier - Clinic/Group Practice 6002703246 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR
O20210119001521 OR Part B Supplier - Clinic/Group Practice 6002703246 Receives reassigned benefits from 1 practitioner
Practice locations: Bend, OR; Portland, OR
O20221216000352 RI Part B Supplier - Clinic/Group Practice 6002703246 Receives reassigned benefits from 1 practitioner
Practice locations: Westerly, RI
O20240523002878 DC Part B Supplier - Clinic/Group Practice 6002703246 Receives reassigned benefits from 1 practitioner
Practice locations: MC Lean, VA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

35 Nod Rd
Ste 101
Avon, CT 06001

9 Cranbrook Blvd
Ste 102
Enfield, CT 06082

31 Sycamore St
Ste 102
Glastonbury, CT 06033
Phone (860) 714-8424

Practitioners & affiliated clinicians

Practitioners 70

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 70

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1942234893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE",
            "address_2": "SUITE 3201E",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051770",
            "telephone_number": "860-969-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WOODLAND ST",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051208",
            "telephone_number": "860-969-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY ASSOCIATES OF HARTFORD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "FIRESTONE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-969-6400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.