PROSPECT DIAGNOSTIC IMAGING
NPI 1154343739
Clinic/Center - Radiology in Prospect, CT
About Prospect Diagnostic Imaging NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROSPECT DIAGNOSTIC IMAGING (NPI 1154343739) is a healthcare organization registered as a radiology in Prospect, Connecticut and active in the NPI registry since July 2006. The organization lists Robert Gumbardo, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prospect Diagnostic Imaging is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Prospect Diagnostic Imaging, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (18)
Southbury, CT 06488
Southbury, CT 06488
Southbury, CT 06488
Southbury, CT 06488
Southbury, CT 06488
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Prospect Diagnostic Imaging's NPI number?
The NPI number for Prospect Diagnostic Imaging is 1154343739. It was assigned to this organization in the NPPES registry on July 24, 2006.
Where is Prospect Diagnostic Imaging located?
Prospect Diagnostic Imaging is located at 166 Waterbury Road Rte 69, Prospect, CT 06712. The listed phone number is (203) 758-7700.
What is Prospect Diagnostic Imaging's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.
Is Prospect Diagnostic Imaging enrolled in Medicare?
Yes. Prospect Diagnostic Imaging is registered in the Medicare PECOS enrollment system.
When is Prospect Diagnostic Imaging's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Prospect Diagnostic Imaging?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Prospect Diagnostic Imaging. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Prospect Diagnostic Imaging accept?
Health plans from Anthem Blue Cross and Blue Shield list Prospect Diagnostic Imaging 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 Prospect Diagnostic Imaging was last updated on June 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.
# Prospect Diagnostic Imaging · NPI 1154343739
Radiology organization in Prospect, Connecticut. Organization record, active in the CMS NPPES registry since July 24, 2006.
## Identity
- **NPI:** 1154343739 (Entity type: Organization)
- **Enumerated:** July 24, 2006
- **Primary specialty:** Clinic/Center - Radiology · taxonomy 261QR0200X
- **Organization subpart:** Yes (part of Naugatuck Valley Radiological Assoc.)
- **Authorized official:** Robert Gumbardo, MEDICAL DIRECTOR
## Practice location
- **Address:** 166 WATERBURY ROAD, RTE 69, Prospect, CT 06712
- **Phone:** (203) 758-7700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Connecticut, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 18 clinicians (Diagnostic Radiology) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 6, 2013
- **Other identifiers:** Medicare ID-Type Unspecified C02822 (CT); Medicaid 004221363 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1154343739) · Data from the CMS NPPES public registry.