JEFFERSON RADIOLOGY, PC – NPI #1396795951
Radiology

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

JEFFERSON RADIOLOGY, PC is a radiologist located in HARTFORD, CT. NPPES has assigned the NPI number 1396795951 to JEFFERSON RADIOLOGY, PC on May 12, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 9 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Apr 30, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEFFERSON RADIOLOGY, PC below.

NPI Profile for
JEFFERSON RADIOLOGY, PC

NPI Number
1396795951
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JEFFERSON RADIOLOGY, PC
Primary location
80 SEYMOUR ST
HARTFORD, CT 06102-8000
Phone: (860) 289-3375 Fax: (860) 290-4108
9 Other location(s):
100 Simsbury Rd Ste 101
Avon, CT 06001-3793
Phone: (860) 289-3375
Fax: (860) 783-5733
6 Northwestern Dr
Bloomfield, CT 06002-3463
Phone: (860) 289-3375
Fax: (860) 783-5733
100 Hazard Ave Ste 100
Enfield, CT 06082-5447
Phone: (860) 289-3375
Fax: (860) 783-5733
399 Farmington Ave Lowr 1
Farmington, CT 06032-1937
Phone: (860) 289-3375
Fax: (860) 783-5733
704 Hebron Ave Ste 100
Glastonbury, CT 06033-5020
Phone: (860) 289-3375
Fax: (860) 783-5733
18 E Granby Rd Ste 202
Granby, CT 06035-2201
Phone: (860) 289-3375
Fax: (860) 783-5733
941 Farmington Ave
West Hartford, CT 06107-2203
Phone: (860) 289-3375
Fax: (860) 783-5733
1260 Silas Deane Hwy Ste 100
Wethersfield, CT 06109-4363
Phone: (860) 289-3375
Fax: (860) 783-5733
1260 Silas Deane Hwy Ste 104
Wethersfield, CT 06109-4363
Phone: (860) 289-3375
Fax: (860) 783-5733
Mailing address
1260 SILAS DEANE HWY STE 104
WETHERSFIELD, CT 06109-4363
Phone: (860) 289-3375 Fax: (860) 290-4108
Organization Subpart
No
Authorized Official
BLAKE GRAVES
SR VP RCM
Phone: (312) 919-8317
Updated
Certification Date
Apr 30, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JEFFERSON RADIOLOGY, PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCT004000295
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.