Individual provider Active NPI

Randall J Risinger, MD

  • Orthopaedic Surgery Physician
  • Manchester, CT
National Provider Identifier
1013971316
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
49814 Issued in CT
Practice address
277 Middle Tpke W
Manchester, CT 06040
Phone
(860) 432-4640
NPI assigned
Apr 13, 2006
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 49814 CT Primary

Addresses

Primary practice location

277 Middle Tpke W
Manchester, CT 06040

Mailing address

1111 Cromwell Ave Ste 403
Rocky Hill, CT 06067-3454
Phone (860) 525-4469

Other practice location 1

1111 Cromwell Ave Ste 404
Rocky Hill, CT 06067-3449
Phone (860) 525-4469

Other practice location 2

31 Ensign Dr
Avon, CT 06001-3773
Phone (860) 751-6039

Other identifiers 1

IdentifierTypeStateIssuer
9002536MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110729000434 CT Practitioner - Orthopedic Surgery 1254395072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Wake Forest University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

277 Middle Tpke W
Manchester, CT 06040-3834
Phone (860) 432-4640

37 Main St
Hebron, CT 06248-1516

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Surgical Partners, PC Orthopaedic Surgery CurrentSince Aug 1, 2011 Accepting new patients
Orthopedic Surgical Partners, P.C. Orthopaedic Surgery CurrentSince Aug 1, 2011 Accepting new patients
Midwest Orthopaedics at Rush, LLC Orthopaedic Surgery Past Accepting new patients

Locations

31 Ensign Dr
Avon, CT 06001
Phone (860) 409-9125

277 Middle Tpke W
Manchester, CT 06040
Phone (860) 432-4640

1111 Cromwell Ave
Ste 302
Rocky Hill, CT 06067

1111 Cromwell Ave
Ste 403
Rocky Hill, CT 06067

1111 Cromwell Ave
Ste 404
Rocky Hill, CT 06067

Interoperability endpoints

  • Direct secure messaging: clinical@hos.directbygreenway.com
  • Direct secure messaging: rrisinger2389302@direct.trinity-health.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1013971316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 CROMWELL AVE STE 403",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673454",
            "telephone_number": "860-525-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 MIDDLE TPKE W",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "06040",
            "telephone_number": "860-432-4640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Cromwell Ave Ste 404",
            "address_purpose": "LOCATION",
            "city": "Rocky Hill",
            "state": "CT",
            "postal_code": "060673449",
            "country_code": "US",
            "telephone_number": "860-525-4469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Ensign Dr",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CT",
            "postal_code": "060013773",
            "country_code": "US",
            "telephone_number": "860-751-6039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RISINGER",
        "first_name": "RANDALL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "49814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9002536",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.