Active NPI
Alisa Sue Siegfeld, M.D.
- Diagnostic Radiology Physician
- Glastonbury, CT
National Provider Identifier
1942260641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 33544
- Practice address
- 124 Hebron Ave Ste 1B
Glastonbury, CT 06033-2066 - Phone
- (860) 633-8806
- Fax
- (860) 657-3788
- NPI assigned
- Mar 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 33544 | CT | Primary |
Addresses
Primary practice location
124 Hebron Ave Ste 1B
Glastonbury, CT 06033-2066
Mailing address
PO Box 230
Glastonbury, CT 06033-0230
Phone (860) 633-8806
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010033544CT12 | Other | CT | ANTHEM BC/BS |
| 300101740 | Other | CT | RAILROAD MEDICARE |
| 300117749 | Other | CT | RAILROAD MEDICARE |
| 300117771 | Other | CT | RAILROAD MEDICARE |
| 010033544CT14 | Other | CT | ANTHEM BC/BS |
| 010033544CT06 | Other | CT | ANTHEM BC/BS |
| 010033544CT08 | Other | CT | ANTHEM BC/BS |
| 300117754 | Other | CT | RAILROAD MEDICARE |
| 001335448 | Medicaid | CT | |
| 010033544CT03 | Other | CT | ANTHEM BC/BS |
| 010033544CT13 | Other | CT | ANTHEM BC/BS |
| 300110158 | Other | CT | RAILROAD MEDICARE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Britain Radiological Assoc.,PC | Diagnostic Radiology | Past | Accepting new patients |
Interoperability endpoints
- alisas.siegfeld@xdr.hhchealthdirect.org
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
- New Britain, CT
- NPI 1386823086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531872000000",
"number": "1942260641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 230",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060330230",
"telephone_number": "860-633-8806",
"fax_number": "860-657-8378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 HEBRON AVE STE 1B",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060332066",
"telephone_number": "860-633-8806",
"fax_number": "860-657-3788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGFELD",
"first_name": "ALISA",
"middle_name": "SUE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-25",
"last_updated": "2018-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CT",
"license": "33544",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "010033544CT12",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300101740",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300117749",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300117771",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "010033544CT14",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "010033544CT06",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "010033544CT08",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300117754",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001335448",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "010033544CT03",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "010033544CT13",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300110158",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.