| Adam Samuel Federman, MD | |
|
56 Quarry Road, 56 Quarry Road, Trumbull, CT 06611-1351 | |
| (203) 696-3672 | |
| (203) 696-6130 |
| Full Name | Adam Samuel Federman |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 37 Years |
| Location | 56 Quarry Road, Trumbull, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275517294 | NPI | - | NPPES |
| 02950461 | Medicaid | NY | |
| 7953500 | Medicaid | NJ | |
| 500000187 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 046746 (Connecticut) | Primary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 046746 (Connecticut) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hartford Hospital | Hartford, CT | Hospital |
| Windham Community Memorial Hospital | Willimantic, CT | Hospital |
| Griffin Hospital | Derby, CT | Hospital |
| Day Kimball Hospital | Putnam, CT | Hospital |
| Manchester Memorial Hospital | Manchester, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Connecticut Imaging Partners Llc | 4183649098 | 71 |
| Tic Llc | 4880972819 | 38 |
| Farmington Imaging Center, Llc | 7719265651 | 23 |
| Jefferson Radiology Pc | 8729982525 | 97 |
| Connecticut Imaging Partners Llc | 4183649098 | 71 |
| Farmington Imaging Center, Llc | 7719265651 | 23 |
| Jefferson Radiology Pc | 8729982525 | 97 |
| Entity Name | Jefferson Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396795951 PECOS PAC ID: 8729982525 Enrollment ID: O20031124000161 |
| Entity Name | Connecticut Imaging Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740315761 PECOS PAC ID: 4183649098 Enrollment ID: O20051011000041 |
| Entity Name | Tic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457702813 PECOS PAC ID: 4880972819 Enrollment ID: O20161026002352 |
| Entity Name | Farmington Imaging Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275987802 PECOS PAC ID: 7719265651 Enrollment ID: O20161028000552 |
| Entity Name | Chelmsford Mri Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356961601 PECOS PAC ID: 9537118609 Enrollment ID: O20200508000776 |
| Mailing Address | Practice Location Address |
|---|---|
| Adam Samuel Federman, MD 3 Enterprise Dr, Ste 220, Shelton, CT 06484-4694 Ph: (203) 696-3670 | Adam Samuel Federman, MD 56 Quarry Road, 56 Quarry Road, Trumbull, CT 06611-1351 Ph: (203) 696-3672 |
Dr. Michele R Even, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 15 Corporate Dr, Trumbull, CT 06611 Phone: 203-337-9729 Fax: 203-337-9730 | |
Peter Shimkin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 56 Quarry Rd, Trumbull, CT 06611 Phone: 203-696-6125 | |
Dr. Jung Kang, M.D., PH.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5520 Park Ave, Trumbull, CT 06611 Phone: 203-337-8700 |