Fafa Koudoro, MD
NPI 1053847780 · Diagnostic Radiology Physician · Wethersfield, CT
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fafa Koudoro, MD is a Diagnostic Radiology Physician provider in Wethersfield, CT (NPI 1053847780).
Provider details
- NPI number
- 1053847780
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 72410 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
9 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,704 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Ct Scan Head Or Brain Without Contrast70450 | 206 | $40 |
| Ct Scan of Blood Vessels of Neck With Contrast70498 | 194 | $80 |
| Ct Scan of Blood Vessels of Head With Contrast70496 | 193 | $84 |
| Mri Scan of Brain Without Contrast70551 | 163 | $71 |
| Mri Scan of Brain Before and After Contrast70553 | 136 | $110 |
| Screening Mammography77067 | 108 | $58 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-05-01
- Last updated
- 2026-04-24
- Certified
- 2026-04-24
Frequently asked questions
- What is Fafa Koudoro's NPI number?
- Fafa Koudoro's National Provider Identifier (NPI) is 1053847780, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Fafa Koudoro's specialty?
- Fafa Koudoro is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Fafa Koudoro located?
- Fafa Koudoro's practice location on file with NPPES is 1260 Silas Deane Hwy Ste 104, Wethersfield, CT 06109-4363.
- What is Fafa Koudoro's phone number?
- The practice phone number listed in the NPPES registry for Fafa Koudoro is (860) 289-3375.
- Does Fafa Koudoro accept Medicare?
- Fafa Koudoro is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Fafa Koudoro's NPI active?
- Yes — Fafa Koudoro's NPI (1053847780) is active in the NPPES registry as of the last update on 2026-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.