Unknown Individual – Vascular & Interventional Radiology Physician, NPI 1821080235
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
111 FOUNDERS PLZ
SUITE 400
EAST HARTFORD, CT 061083212
Phone: (860) 246-6589
Fax: (860) 528-0778
Type: Mailing
Medical Office Building, 85, Seymour Street, Frog Hollow Historic District, Hartford, Hartford County, Connecticut, 06106, United States
SUITE 200
HARTFORD, CT 061065501
Phone: (860) 246-6589
Fax: (860) 560-2849
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $213,114.
Total Amount is formed as General ($213,114) + Research ($0) + Ownership ($0) = $213,114.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Merit Medical Systems Inc ($213,114).
Total Amount
$213,114
General + Research + Ownership
Payments
21
Total payment records
General Amount
$213,114
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merit Medical Systems Inc | $213,114 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06108)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | CT | 71010 | X-ray of chest, 1 view, front | 23 | 20 |
| DIAGNOSTIC RADIOLOGY | CT | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 37 | 37 |
| DIAGNOSTIC RADIOLOGY | CT | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 47 | 46 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MA | |
| Diagnostic Radiology, Interventional Radiology | CT | |
| Diagnostic Radiology | MA | |
| - | CT | |
| Diagnostic Radiology | NY | |
| - | CT | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | CT | |
| Diagnostic Radiology, Interventional Radiology | CT | |
| - | CT |
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