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CONNECTICUT IMAGING PARTNERS, LLC
NPI 1740315761
Radiology - Diagnostic Radiology in Wethersfield, CT

Active since February 22, 2007CLIA Certified · 7 labs
1260 SILAS DEANE HWY, SUITE 100, WETHERSFIELD, CT 06109(860) 563-7844(860) 563-7871 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 30, 2026, Jul 11, 2024, May 26, 2023 and 1 more (4 updates tracked since 2019).

About Connecticut Imaging Partners, Llc NPPES

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

CONNECTICUT IMAGING PARTNERS, LLC (NPI 1740315761) is a healthcare organization registered as a diagnostic radiology in Wethersfield, Connecticut and active in the NPI registry since February 2007. The organization holds 7 active CLIA laboratory certificates, maintains 8 additional practice locations, and lists Blake G Graves, Sr Vp Rcm, as its authorized official.

NPPES Registry Identity

NPI1740315761
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameCONNECTICUT IMAGING PARTNERS, LLC
Location Address1260 SILAS DEANE HWY, SUITE 100Wethersfield, CT 06109-4362
Mailing Address1260 Silas Deane Hwy Ste 104Wethersfield, CT 06109-4363 · (860) 289-3375 · Fax (860) 290-4108
Phone(860) 563-7844
Fax(860) 563-7871
Organization SubpartNo
Authorized OfficialBlake G GravesSr Vp Rcm · (312) 919-8317
Enumeration DateFebruary 22, 2007
Last NPPES UpdateJune 12, 20264 updates tracked since enumeration
NPPES CertifiedJune 12, 2026
✔ NPI 1740315761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ 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 · Pediatric RadiologyTaxonomy 2085P0229X
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
1260 SILAS DEANE HWY, Wethersfield, CT 06109
Open in Google Maps ↗

Secondary Practice Locations 8

Location 1704 Hebron Ave Ste 100Glastonbury, CT 06033-5020 · Phone (860) 289-3375
Location 285 Seymour St Ste 200Hartford, CT 06106-5509 · Phone (860) 289-3375
Location 3941 Farmington AveWest Hartford, CT 06107-2203 · Phone (860) 289-3375
Location 418 E Granby Rd Ste 202Granby, CT 06035-2201 · Phone (860) 289-3375
Location 5399 Farmington AveFarmington, CT 06032-1936 · Phone (860) 289-3375
Location 6100 Hazard Ave Ste 100Enfield, CT 06082-5447 · Phone (860) 289-3375
Location 76 Northwestern DrBloomfield, CT 06002-3463 · Phone (860) 289-3375
Location 8100 Simsbury Rd Ste 100Avon, CT 06001-3793 · Phone (860) 289-3375

Other Identifiers 1

Medicaid004252110CT

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 Imaging Partners, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

172

Medicare enrollment records show 172 clinicians reassign Medicare billing to Connecticut Imaging Partners, LLC, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 40 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Diagnostic Radiology154
Interventional Radiology15
Nuclear Medicine2
Interventional Cardiology1

Nearest to this location (20)

See all 172
Shanshan Bao, MD
Diagnostic Radiology
NPI 1912135211
1260 SILAS DEANE HWY STE 100
Wethersfield, CT 06109
(860) 289-3375
✔ PECOS✔ Accepts MedicareSame address
Carol Cavalcante De Vasconcelos Lima, MD
Diagnostic Radiology
NPI 1437776028
1260 SILAS DEANE HWY STE 100
Wethersfield, CT 06109
(860) 289-3375
✔ PECOS✔ Accepts MedicareSame address
Adam Federman, MD
Diagnostic Radiology
NPI 1275517294
1260 SILAS DEANE HWY STE 100
Wethersfield, CT 06109
(860) 289-3375
✔ PECOS✔ Accepts MedicareSame address
Lindsay Griffin, MD
Diagnostic Radiology
NPI 1023373198
1260 SILAS DEANE HWY STE 100
Wethersfield, CT 06109
(860) 289-3375
✔ PECOS✔ Accepts MedicareSame address
Ryan Kaliney, M.D.
Diagnostic Radiology
NPI 1497977268
1260 SILAS DEANE HWY STE 100
Wethersfield, CT 06109
(860) 289-3375
✔ PECOS✔ Accepts MedicareSame address
Fafa Koudoro, MD
Diagnostic Radiology
NPI 1053847780
1260 SILAS DEANE HWY STE 104
Wethersfield, CT 06109
(860) 289-3375
✔ PECOS✔ Accepts MedicareSame address
Jared Martillotti, M.D.
Diagnostic Radiology
NPI 1437385341
1260 SILAS DEANE HWY STE 100
Wethersfield, CT 06109
(860) 289-3375
✔ PECOS✔ Accepts MedicareSame address
Douglas Moote, M.D.
Diagnostic Radiology
NPI 1285610766
1260 SILAS DEANE HWY STE 100
Wethersfield, CT 06109
(860) 289-3375
✔ PECOS✔ Accepts MedicareSame address
Martin Ollenschleger, M.D.
Interventional Radiology
NPI 1407053655
1260 SILAS DEANE HWY STE 100
Wethersfield, CT 06109
(860) 289-3375
✔ PECOS✔ Accepts MedicareSame address
Sean Richardson, M.D.
Diagnostic Radiology
NPI 1174816003
1260 SILAS DEANE HWY STE 100
Wethersfield, CT 06109
(860) 289-3375
✔ PECOS✔ Accepts MedicareSame address
Hadeer Shaikhly, MD
Diagnostic Radiology
NPI 1477537991
1260 SILAS DEANE HWY STE 100
Wethersfield, CT 06109
(860) 289-3375
✔ PECOS✔ Accepts MedicareSame address
Cynthia Clarke, DO, RD
Diagnostic Radiology
NPI 1750532214
31 BACKLAND RD
South Glastonbury, CT 06073
(585) 414-4722
✔ PECOS✔ Accepts Medicare3.5 mi
Rebecca Delancey, MD
Diagnostic Radiology
NPI 1134304785
80 SEYMOUR ST
Hartford, CT 06102
(860) 289-3375
✔ PECOS✔ Accepts Medicare4.8 mi
Patrick Duffy, M.D.
Diagnostic Radiology
NPI 1922258532
80 SEYMOUR ST
Hartford, CT 06102
(860) 289-3375
✔ PECOS✔ Accepts Medicare4.8 mi
Ethan Foxman, M.D.
Diagnostic Radiology
NPI 1225014731
80 SEYMOUR ST
Hartford, CT 06102
(860) 289-3375
✔ PECOS✔ Accepts Medicare4.8 mi
Mrinal Mali, M.D.
Diagnostic Radiology
NPI 1023055720
80 SEYMOUR ST
Hartford, CT 06102
(860) 289-3375
✔ PECOS✔ Accepts Medicare4.8 mi
Dennis Martin, MD
Diagnostic Radiology
NPI 1871053793
80 SEYMOUR ST
Hartford, CT 06102
(860) 289-3375
✔ PECOS✔ Accepts Medicare4.8 mi
Pallavi Nadendla, M.D.
Diagnostic Radiology
NPI 1033553508
80 SEYMOUR ST
Hartford, CT 06102
(860) 289-3375
✔ PECOS✔ Accepts Medicare4.8 mi
Colette Glaser, M.D.
Diagnostic Radiology
NPI 1891229191
80 SEYMOUR ST DEPT OF RADIOLOGY
Hartford, CT 06102
(860) 676-0110
✔ PECOS✔ Accepts Medicare4.8 mi
Ronald Rosenberg, M.D.
Nuclear Medicine
NPI 1043296304
85 SEYMOUR ST SUITE 200
Hartford, CT 06106
(860) 289-3375
✔ PECOS✔ Accepts Medicare4.9 mi
See all 172 clinicians

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 7

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 07D2009395

Connecticut Imaging Partners · Granby, CT
Active · expires Jun 30, 2028
CLIA Number07D2009395
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2026
Certificate Expiration DateJune 30, 2028
Laboratory DirectorDr. Martin D. Ollenschleger
Laboratory Phone(860) 290-6523
Laboratory LocationConnecticut Imaging Partners18 East Granby Rd, Granby, CT 06035
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 07D1107589

Connecticut Imaging Partners · Bloomfield, CT
Active · expires Nov 8, 2027
CLIA Number07D1107589
Laboratory TypePhysician Office
Certificate Effective DateNovember 9, 2025
Certificate Expiration DateNovember 8, 2027
Laboratory DirectorDr. Martin D. Ollenschleger
Laboratory Phone(860) 290-6523
Laboratory LocationConnecticut Imaging Partners6 Northwestern Dr, Bloomfield, CT 06002
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 07D1096117

Connecticut Imaging Partners · Glastonbury, CT
Active · expires Feb 24, 2027
CLIA Number07D1096117
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2025
Certificate Expiration DateFebruary 24, 2027
Laboratory DirectorDr. Martin D. Ollenschleger
Laboratory Phone(860) 290-6523
Laboratory LocationConnecticut Imaging Partners704 Hebron Avenue, Glastonbury, CT 06033
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 07D1096118

Connecticut Imaging Partners · West Hartford, CT
Active · expires Feb 24, 2027
CLIA Number07D1096118
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2025
Certificate Expiration DateFebruary 24, 2027
Laboratory DirectorDr. Martin D. Ollenschleger
Laboratory Phone(860) 290-6523
Laboratory LocationConnecticut Imaging Partners941 Farmington Ave, West Hartford, CT 06107
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 07D1073467

Connecticut Imaging Partners · Hartford, CT
Active · expires Feb 23, 2027
CLIA Number07D1073467
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorDr. Martin Ollenschleger
Laboratory Phone(860) 290-6523
Laboratory LocationConnecticut Imaging Partners85 Seymour St, Hartford, CT 06106
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 07D1073470

Connecticut Imaging Partners · Wethersfield, CT
Active · expires Feb 23, 2027
CLIA Number07D1073470
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorDr. Martin D. Ollenschleger
Laboratory Phone(860) 290-6523
Laboratory LocationConnecticut Imaging Partners1260 Silas Deane Hwy Ste 100, Wethersfield, CT 06109
CLIA data matches this NPI record on: Address Name
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 Imaging Partners, LLC's NPI number?

The NPI number for Connecticut Imaging Partners, LLC is 1740315761. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is Connecticut Imaging Partners, LLC located?

Connecticut Imaging Partners, LLC is located at 1260 Silas Deane Hwy Suite 100, Wethersfield, CT 06109. The listed phone number is (860) 563-7844.

What is Connecticut Imaging Partners, LLC's specialty?

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

Is Connecticut Imaging Partners, LLC enrolled in Medicare?

Yes. Connecticut Imaging Partners, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Connecticut Imaging Partners, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 172 clinicians in 4 Medicare specialties reassign their Medicare billing to Connecticut Imaging Partners, LLC. 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 Diagnostic Radiology (154), Interventional Radiology (15) and Nuclear Medicine (2). Of these, 11 practice at this address and 40 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Connecticut Imaging Partners, LLC hold CLIA laboratory certificates?

Yes. 7 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Connecticut Imaging Partners, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Connecticut Imaging Partners, LLC 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 Imaging Partners, LLC was last updated on June 12, 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.