Connecticut Imaging Partners, LLC

NPI 1740315761ActiveOrganization· Radiology, Diagnostic Radiology· Wethersfield, CT

Radiology, Diagnostic Radiology in Wethersfield, Connecticut, registered in NPPES in February 2007. The authorized official on file is Blake G. Graves, Sr Vp Rcm. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI	1740315761
Status	Active
Entity type	Organization
NPI issued	Feb 22, 2007
Last updated in NPPES	Jun 12, 2026
Certified by provider	Jun 12, 2026

Specialties and licenses

Taxonomy	Code	License	State
Radiology, Diagnostic Radiology Primary	2085R0202X	—	—
Nuclear Medicine	207U00000X	—	—
Radiology, Body Imaging	2085B0100X	—	—
Radiology, Neuroradiology	2085N0700X	—	—
Radiology, Pediatric Radiology	2085P0229X	—	—
Radiology, Vascular & Interventional Radiology	2085R0204X	—	—
Physician Assistant, Medical	363AM0700X	—	—

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Oct 9, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026	No match	—
New York OMIG · Nov 10, 2026	No match	—
Ohio Medicaid · Nov 10, 2026	No match	—
Pennsylvania Medicheck · Nov 10, 2026	No match	—
Washington HCA · Nov 10, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (CT); Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (MD); Part B Supplier - Clinic/Group Practice (MI); Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (NH); Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (OH); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (PR); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (VA); Part B Supplier - Clinic/Group Practice (VT); Part B Supplier - Clinic/Group Practice (WI)

Enrollment (PECOS)

Enrolled Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (CT); Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (MD); Part B Supplier - Clinic/Group Practice (MI); Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (NH); Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (OH); Part B Supplier - Clinic/Group Practice (PA); Part B Supplier - Clinic/Group Practice (PR); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (VA); Part B Supplier - Clinic/Group Practice (VT); Part B Supplier - Clinic/Group Practice (WI)

Medicare sources and data years

Other Radiology, Diagnostic Radiology providers in Wethersfield

Shanshan Bao, MD
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Carol Cavalcante De Vasconcelos Lima, MD
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1437776028
Sean Cusano, MD
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Adam Samuel Federman, MD
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Lindsay M. Griffin, MD
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Ryan W. Kaliney, M.D.
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1497977268
Fafa Huberta Koudoro, MD
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1053847780
Jared Michael Martillotti, M.D.
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1437385341
Douglas J. Moote, M.D.
Wethersfield, CT · Individual
1285610766
Sean Richardson, M.D.
Wethersfield, CT · Individual
1174816003
Hadeer Shaikhly, MD
Wethersfield, CT · Individual
1477537991

All Radiology, Diagnostic Radiology providers in Connecticut →