Individual provider Active NPI

Mae Mae Andrea Yu-Shih Mirabelli, MD

  • Diagnostic Radiology Physician
  • Milford, CT
National Provider Identifier
1992966519
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
237791 Issued in NY
Practice address
61 Zurko Farm Rd
Milford, CT 06461-3064
Phone
(917) 554-9579
NPI assigned
Jun 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 237791 NY Primary

Addresses

Primary practice location

61 Zurko Farm Rd
Milford, CT 06461-3064

Mailing address

61 Zurko Farm Rd
Milford, CT 06461-3064
Phone (917) 554-9579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 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

Enrollment IDStateProvider typePAC IDDetails
I20101104001203 CT Practitioner - Diagnostic Radiology 9436343233 Reassigns benefits to 1 organization
I20131210001678 MA Practitioner - Diagnostic Radiology 9436343233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Icahn School of Medicine at Mount Sinai, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology and Imaging IncGroup PAC ID 9234110479, 58 clinicians

Practice addresses (Care Compare)

100 Wason Ave
Suite 120
Springfield, MA 01107-1179
Phone (413) 241-2100

113 Elm St
Suite 206
Enfield, CT 06082-3738
Phone (860) 741-2177

115 W Silver St
Westfield, MA 01085-3678
Phone (413) 568-2811

164 High St
Greenfield, MA 01301-2613
Phone (413) 773-2674

21 Dwight Rd
Suite 102
Longmeadow, MA 01106-1765
Phone (413) 827-7400

325 B King St
Northampton, MA 01060-2370
Phone (413) 387-4100

40 Wright St
Palmer, MA 01069-1138
Phone (413) 284-5241

470 Granby Rd
E5
South Hadley, MA 01075-3218
Phone (413) 794-2195

759 Chestnut St
Springfield, MA 01107-1619
Phone (413) 827-7400

Hospital & facility affiliations

  • Baystate Medical Center Hospital, Springfield, MA, CCN 220077
  • Baystate Noble Hospital Hospital, Westfield, MA, CCN 220065
  • Baystate Franklin Medical Center Hospital, Greenfield, MA, CCN 220016
  • Baystate Wing Hospital Hospital, Palmer, MA, CCN 220030
  • Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237791NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin MRI Center LLC CurrentSince Dec 1, 2016 Accepting new patients
Radiology & Imaging, Inc. Diagnostic Radiology CurrentSince Nov 1, 2013 Accepting new patients
Franklin MRI Center LLC CurrentSince May 24, 2022 Accepting new patients
New Haven Radiology Associates, P.C. Diagnostic Radiology Past Accepting new patients
New Haven Radiology Associates PC Past Accepting new patients

Locations

113 Elm St
Ste 206
Enfield, CT 06082
Phone (860) 741-2177

1350 Main St
#1007
Springfield, MA 01103
Phone (413) 495-1100

759 Chestnut St
Springfield, MA 01107
Phone (413) 794-6297

1350 Main St
Ste 1007
Springfield, MA 01103
Phone (413) 495-1129

85 South St
Ware, MA 01082
Phone (413) 967-2201

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1992966519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 ZURKO FARM RD",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064613064",
            "telephone_number": "917-554-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 ZURKO FARM RD",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064613064",
            "telephone_number": "917-554-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRABELLI",
        "first_name": "MAE MAE",
        "middle_name": "ANDREA YU-SHIH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "237791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.