JEFFERSON RADIOLOGY, PC - NPI 1396795951 - Radiology in Hartford, CT

Q: What is Jefferson Radiology, PC's NPI number?

The NPI number for Jefferson Radiology, PC is 1396795951. It was assigned to this organization in the NPPES registry on May 12, 2006.

Q: What is Jefferson Radiology, PC's specialty?

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

On this page

About Jefferson Radiology, Pc NPPES

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

JEFFERSON RADIOLOGY, PC (NPI 1396795951) is a healthcare organization registered as a diagnostic radiology in Hartford, Connecticut and active in the NPI registry since May 2006. The organization lists Blake G Graves, Sr Vp Rcm, as its authorized official.

NPPES Registry Identity

NPI1396795951

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NameJEFFERSON RADIOLOGY, PC

Location Address80 SEYMOUR STHartford, CT 06102-8000

Mailing Address1260 Silas Deane Hwy Ste 104Wethersfield, CT 06109-4363 · (860) 289-3375 · Fax (860) 290-4108

Phone(860) 289-3375

Fax(860) 290-4108

Organization SubpartNo

Authorized OfficialBlake G GravesSr Vp Rcm · (312) 919-8317

Enumeration DateMay 12, 2006

Last NPPES UpdateJune 12, 20267 updates tracked since enumeration

NPPES CertifiedJune 12, 2026

✔ NPI 1396795951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Definition

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

Also ListedNuclear MedicineTaxonomy 207U00000X

Also ListedRadiology · Body ImagingTaxonomy 2085B0100X

Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

80 SEYMOUR ST, Hartford, CT 06102

Open in Google Maps ↗

Other Identifiers 1

Medicaid004000295CT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUPARNA DUTTA M.D.

Internal Medicine