Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Fafa Huberta Koudoro, MD

Individual provider Diagnostic Radiology Physician · NPI 1053847780

Fafa Huberta Koudoro, MD practises Diagnostic Radiology in Wethersfield, Connecticut. Graduated from George Washington University School of Medicine in 2017, 9 years ago. Practices with Connecticut Imaging Partners LLC, a 107-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
9
Trained at
George Washington University School of Medicine
Licensed in
CT
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1260 Silas Deane Hwy Ste 104
Wethersfield, CT 06109-4363
Phone: (860) 289-3375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 72410 (CT)

Record details

NPI number1053847780
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 1, 2017
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Connecticut Imaging Partners Llc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients1,265
Services billed 7,057 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Connecticut Imaging Partners LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 107 clinicians in the practice; 12 are shown here.

Other providers in Wethersfield