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CONNECTICUT IMAGE GUIDED SURGERY, PC
NPI 1730148784
Radiology - Vascular & Interventional Radiology in Fairfield, CT

Active since March 20, 2006CLIA 07D1089799 · Waiver
1152 KINGS HIGHWAY CUTOFF STE 104, FAIRFIELD, CT 06824(203) 330-0248(203) 330-9730 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 8, 2026, Dec 9, 2025, May 5, 2025 and 9 more (12 updates tracked since 2016).

About Connecticut Image Guided Surgery, Pc NPPES

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

CONNECTICUT IMAGE GUIDED SURGERY, PC (NPI 1730148784) is a healthcare organization registered as a vascular & interventional radiology in Fairfield, Connecticut and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through September 25, 2028 and lists Gregg Miller, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1730148784
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameCONNECTICUT IMAGE GUIDED SURGERY, PC
Location Address1152 KINGS HIGHWAY CUTOFF STE 104Fairfield, CT 06824-5273
Mailing AddressPo Box 416139Boston, MA 02241-6139 · (610) 644-8900 · Fax (484) 924-0053
Phone(203) 330-0248
Fax(203) 330-9730
Organization SubpartNo
Authorized OfficialGregg MillerAuthorized Official · (717) 515-4048
Enumeration DateMarch 20, 2006
Last NPPES UpdateJune 9, 202612 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
✔ NPI 1730148784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
1152 KINGS HIGHWAY CUTOFF STE 104, Fairfield, CT 06824
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Other Identifiers 1

Medicaid008001049CT

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connecticut Image Guided Surgery, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Connecticut Image Guided Surgery, PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (6)

Gastone Crea, MD
Interventional Radiology
NPI 1558367227
3250 WESTCHESTER AVE RM 102
Bronx, NY 10461
(718) 794-9729
✔ PECOS✔ Accepts Medicare37 mi
Denzil Douglas, M.D.
Interventional Radiology
NPI 1699161075
20606 HILLSIDE AVE
Queens Village, NY 11427
(718) 820-9729
✔ PECOS✔ Accepts Medicare40 mi
Joseph Gotesman, M.D.
Interventional Radiology
NPI 1285169490
35 E 110TH ST STE 3
New York, NY 10029
(212) 427-9895
✔ PECOS✔ Accepts Medicare44 mi
Mark Song, MD
Vascular Surgery
NPI 1346227246
339 HICKS ST DIVISION OF VASCULAR SURGERY
Brooklyn, NY 11201
(718) 780-1051
✔ PECOS✔ Accepts Medicare51 mi
Gregg Miller, MD
Interventional Radiology
NPI 1942273560
960 40TH ST
Brooklyn, NY 11219
(718) 369-1444
✔ PECOS53 mi
Dietrich Schultze, M.D.
Interventional Radiology
NPI 1922192459
736 CAMBRIDGE ST
Brighton, MA 02135
(617) 789-2762
✔ PECOS✔ Accepts Medicare136 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D1089799

Connecticut Image Guided Surgery · Fairfield, CT
Active · expires Sep 25, 2028
CLIA Number07D1089799
Laboratory TypePhysician Office
Certificate Effective DateSeptember 26, 2026
Certificate Expiration DateSeptember 25, 2028
Laboratory DirectorDietrich Schultze
Laboratory Phone(203) 330-0248
Laboratory LocationConnecticut Image Guided Surgery1152 Kings Highway Cutoff, Ste 104, Fairfield, CT 06824
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Connecticut Image Guided Surgery, PC's NPI number?

The NPI number for Connecticut Image Guided Surgery, PC is 1730148784. It was assigned to this organization in the NPPES registry on March 20, 2006.

Where is Connecticut Image Guided Surgery, PC located?

Connecticut Image Guided Surgery, PC is located at 1152 Kings Highway Cutoff Ste 104, Fairfield, CT 06824. The listed phone number is (203) 330-0248.

What is Connecticut Image Guided Surgery, PC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Connecticut Image Guided Surgery, PC enrolled in Medicare?

Yes. Connecticut Image Guided Surgery, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Connecticut Image Guided Surgery, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Connecticut Image Guided Surgery, PC. 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. The largest specialties are Interventional Radiology (5) and Vascular Surgery (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Connecticut Image Guided Surgery, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D1089799) is associated with this NPI, valid through September 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Connecticut Image Guided Surgery, PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Connecticut Image Guided Surgery, PC 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 Connecticut Image Guided Surgery, PC was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.