FAFA HUBERTA KOUDORO MD
NPI 1053847780
Radiology - Diagnostic Radiology in Wethersfield, CT

Q: What is Fafa Koudoro's NPI number?

The NPI number for Fafa Koudoro is 1053847780. It was assigned to this individual provider in the NPPES registry on May 1, 2017.

Q: What is Fafa Koudoro's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Fafa Koudoro was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 01, 2017PECOS EnrolledAccepts Medicare Assignment

91.5/100

CMS Quality Rating

1260 SILAS DEANE HWY STE 104, WETHERSFIELD, CT 06109(860) 289-3375 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 24, 2026, Jan 20, 2023, May 21, 2022 and 2 more (5 updates tracked since 2017).

On this page

About Fafa Huberta Koudoro Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAFA HUBERTA KOUDORO MD (NPI 1053847780) is an individual diagnostic radiology provider in Wethersfield, Connecticut, licensed in Connecticut (72410) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2017).

NPPES Registry Identity

NPI1053847780

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameFAFA HUBERTA KOUDOROCredential: MD

Location Address1260 SILAS DEANE HWY STE 104Wethersfield, CT 06109-4363

Mailing Address100 Hazard Ave Ste 100Enfield, CT 06082-5447 · (860) 289-3375

Phone(860) 289-3375

Sole ProprietorYes

Medical School CMSGeorge Washington University School Of MedicineGraduated 2017

Enumeration DateMay 1, 2017

Last NPPES UpdateApril 24, 20265 updates tracked since enumeration

NPPES CertifiedApril 24, 2026

✔ NPI 1053847780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in CT · 72410

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

1260 SILAS DEANE HWY STE 104, Wethersfield, CT 06109

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fafa Huberta Koudoro Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638443039

PECOS Enrollment IDI20221101000529, I20230612003010

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Fafa Koudoro reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Connecticut Imaging Partners, LLC

Same address

Diagnostic Radiology

1260 SILAS DEANE HWY, SUITE 100
Wethersfield, CT 06109

Reassigned Medicare billing, Connecticut and Massachusetts enrollments
167 clinicians in this Medicare group

NPI 1740315761 (860) 563-7844

Jefferson Radiology, PC

4.8 mi

Diagnostic Radiology

80 SEYMOUR ST
Hartford, CT 06102

Reassigned Medicare billing, Connecticut and Massachusetts enrollments
161 clinicians in this Medicare group

NPI 1396795951 (860) 289-3375

Trinity Health Of New England Provider Network Organization Inc

6.5 mi

Internal Medicine

114 WOODLAND ST, SAINT FRANCIS MEDICAL GROUP INC.
Hartford, CT 06105

Reassigned Medicare billing, Connecticut enrollment
1,186 clinicians in this Medicare group

NPI 1003882812 (860) 714-1325

Advanced Imaging Specialists, LLC

6.5 mi

Diagnostic Radiology

114 WOODLAND ST
Hartford, CT 06105

Reassigned Medicare billing, Connecticut enrollment
56 clinicians in this Medicare group

NPI 1689429078 (203) 426-3002

Farmington Imaging Center, LLC

8.1 mi

Diagnostic Radiology

399 FARMINGTON AVE STE 130
Farmington, CT 06032

Reassigned Medicare billing, Connecticut and Massachusetts enrollments
172 clinicians in this Medicare group

NPI 1275987802 (860) 289-3375

Tic, LLC

18 mi

Diagnostic Radiology

6 FIELDSTONE CMNS, SUITE E
Tolland, CT 06084

Reassigned Medicare billing, Connecticut enrollment
169 clinicians in this Medicare group

NPI 1457702813 (860) 896-4848

Chelmsford Mri, P.C.

30 mi

Diagnostic Radiology

3640 MAIN ST, SUITE 101
Springfield, MA 01107

Reassigned Medicare billing, Massachusetts enrollment
Medicare enrollment name: Chelmsford Mri PC
Also billed through NPI 1386662112 (Massachusetts)
99 clinicians in this Medicare group

NPI 1821435553 (413) 781-9000

Danbury Radiological Associates, PC

43 mi

Diagnostic Radiology

24 HOSPITAL AVE
Danbury, CT 06810

Reassigned Medicare billing, Connecticut enrollment
39 clinicians in this Medicare group

NPI 1639164106 (203) 739-7532

Premier Imaging LLC

56 mi

Diagnostic Radiology

34 MAPLE ST
Norwalk, CT 06850

Reassigned Medicare billing, Connecticut enrollment
60 clinicians in this Medicare group

NPI 1760087027 (203) 426-3002

Simonmed Imaging Florida LLC

1,090 mi

Diagnostic Radiology

14302 BRUCE B DOWNS BLVD
Tampa, FL 33613

Reassigned Medicare billing, Connecticut enrollment
2 clinicians in this Medicare group

NPI 1477830818 (813) 979-7580

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 32

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, gadobutrol, 0.1 ml A9585

Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.

3,915 services58 patients

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967

Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.

1,162 services20 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

206 services185 patients

Ct scan of blood vessels of neck with contrast 70498

A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.

194 services189 patients

Ct scan of blood vessels of head with contrast 70496

A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.

193 services189 patients

Mri scan of brain without contrast 70551

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

163 services160 patients

Mri scan of brain before and after contrast 70553

An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.

136 services125 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

108 services108 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

107 services107 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

80 services80 patients

Mri scan of lower spinal canal without contrast 72148

75 services75 patients

Ct scan of upper spine without contrast 72125

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

40 services39 patients

Mri scan of brain before and after contrast 70553

35 services35 patients

Mri scan of lower spinal canal before and after contrast 72158

An MRI scan of the lower spinal canal with contrast is a non-invasive imaging procedure. It uses magnetic fields to generate detailed images of your lower spine. A contrast agent is injected to enhance these images, helping doctors see issues more clearly.

34 services30 patients

Screening mammography 77067

34 services34 patients

Mri scan of upper spinal canal without contrast 72141

An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.

32 services32 patients

Mri scan of upper spinal canal without contrast 72141

27 services27 patients

Screening 3d breast mammography 77063

23 services23 patients

Mri scan of middle spinal canal without contrast 72146

An MRI scan of the middle spinal canal without contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed images of your spine. This helps doctors identify any abnormalities or issues in your spinal canal. No dye is used in this procedure.

21 services21 patients

Ct scan of face without contrast 70486

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

18 services18 patients

Ct scan of lower spine without contrast 72131

A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.

18 services18 patients

Mri scan of middle spinal canal before and after contrast 72157

An MRI scan of the middle spinal canal with contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your spine, both before and after a contrast dye is injected. The dye helps to highlight certain structures, providing a clearer picture for diagnosis.

18 services17 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

18 services17 patients

Ct scan of soft tissue of neck with contrast 70491

A CT scan of the neck with contrast is a non-invasive imaging procedure. A special dye is administered to highlight the soft tissues in your neck, making them easier to see. This helps detect issues like infections, tumors, or other abnormalities.

15 services15 patients

Mri scan of upper spinal canal before and after contrast 72156

An MRI scan of the upper spinal canal before and after contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed images of your spine. Contrast dye is injected to enhance these images, providing clearer visuals for accurate diagnosis.

15 services15 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

15 services15 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

14 services14 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

14 services14 patients

Ct scan of face without contrast 70486

13 services13 patients

Mri scan of brain without contrast 70551

13 services13 patients

Mri scan of lower spinal canal before and after contrast 72158

13 services13 patients

Ct scan of soft tissue of neck with contrast 70491

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

Improvement Activities

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fafa Koudoro's NPI number?

The NPI number for Fafa Koudoro is 1053847780. It was assigned to this individual provider in the NPPES registry on May 1, 2017.

Where is Fafa Koudoro located?

Fafa Koudoro practices at 1260 Silas Deane Hwy Ste 104, Wethersfield, CT 06109. The listed phone number is (860) 289-3375.

What is Fafa Koudoro's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Fafa Koudoro enrolled in Medicare?

Yes. Fafa Koudoro is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Fafa Koudoro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fafa Koudoro reassigns Medicare benefits to 14 organizations: Connecticut Imaging Partners, LLC (Wethersfield, CT), Jefferson Radiology, PC (Hartford, CT), Trinity Health Of New England Provider Network Organization Inc (Hartford, CT), Advanced Imaging Specialists, LLC (Hartford, CT), Farmington Imaging Center, LLC (Farmington, CT) and 9 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Fafa Koudoro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fafa Koudoro accept?

Health plans from Ambetter Health, Ambetter of Alabama, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Cigna HealthCare of Florida, Inc. and 2 other insurers list Fafa Koudoro as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fafa Koudoro was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.