CHRISTIAN K PEDERSEN – Neuroradiology Physician, NPI 1083067755

CHRISTIAN K PEDERSEN is a healthcare provider. based in New haven, Connecticut. specializing in DIAGNOSTIC RADIOLOGY. They hold a License No. C1-0024958 (DE). The NPI Number for CHRISTIAN K PEDERSEN is 1083067755

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTIAN K PEDERSEN
NPI
1083067755
Phone
(203) 688-4242
Address
20 York St
Enumeration Date
19 July 2016
Last Update Date
31 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6102374814
Graduation Year
2013 (13 years ago)
PAC ID
5890074850
Group Practice PAC ID
1153233283
Professional Enrollment ID
I20220617000390
Address ID
PA190231200DA1500XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:9State licenses:2Digital endpointsOther names

805 DIAGNOSTIC RADIOLOGY in CT

Provider Addresses for CHRISTIAN K PEDERSEN

  • 20 York St

    New Haven, CT 065103220

    Phone: (203) 688-4242

    Type: Location

  • 3912 GATEWAY DR APT B1

    PHILADELPHIA, PA 191455972

    Phone:

    Type: Mailing

  • Lansdowne Avenue, Winding Way, Drexel Hill, Springfield, Upper Darby, Delaware County, Pennsylvania, 19026, United States

    DARBY, PA 190231200

    Phone: (610) 237-4000

    Type: Location

  • 20 YORK ST

    NEW HAVEN, CT 065103220

    Phone: (203) 688-4242

    Type: Location

  • 4755 OGLETOWN STANTON RD

    NEWARK, DE 197183220

    Phone: (302) 733-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-06-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220616001496IDiagnostic RadiologyDETBD
I20220617000390IDiagnostic RadiologyPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
70450Ct scan head or brain without contrast830784$0
70551Mri scan of brain without contrast276274$0
72125Ct scan of upper spine without contrast245243$0
70553Mri scan of brain before and after contrast142140$0
70498Ct scan of blood vessels of neck with contrast134133$0
View full utilization report →

Insurance plans in this area (ZIP 06510)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153233283View full group profile
NameSpecialtyState
Diagnostic RadiologyNJ
Diagnostic RadiologyDE
Diagnostic Radiology, Interventional RadiologyNJ
Diagnostic RadiologyNH
Diagnostic RadiologyNH
Diagnostic RadiologyMD
Interventional Radiology, Interventional Radiology, Diagnostic Radiology, Internal Medicine, Diagnostic RadiologyNJ
Diagnostic Radiology, Interventional RadiologyNJ
Diagnostic RadiologyPA
Diagnostic RadiologyMN

Reviews

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Frequently asked questions

Can I cross-check CHRISTIAN K PEDERSEN using NPI 1083067755?
NPI 1083067755 belongs to CHRISTIAN K PEDERSEN; compare other details if you need extra assurance.
Is there an active status for CHRISTIAN K PEDERSEN?
For scheduling context, CHRISTIAN K PEDERSEN is shown as active in the registry.
What area of care is associated with CHRISTIAN K PEDERSEN?
CHRISTIAN K PEDERSEN's record emphasizes Neuroradiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for CHRISTIAN K PEDERSEN?
Travel planning: use New Haven, Connecticut as the reference point for CHRISTIAN K PEDERSEN, then confirm.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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