Randall J Risinger, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Manchester, CT
NPI 1013971316 · NPPES record last updated Jun 28, 2023
Key facts
- NPI
- 1013971316
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 49814 (CT)
- Practice address
- 277 Middle Tpke W
Manchester, CT 06040 - Phone
- (860) 432-4640
- NPI assigned
- Apr 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Wake Forest University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthopedic Surgical Partners, P.C.
Select Physical Therapy of Connecticut Limited Partnership
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
- St Francis Hospital & Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 13 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110729000434 | CT | Practitioner - Orthopedic Surgery | 1254395072 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49814 | CT | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Surgical Partners, PC | Orthopaedic Surgery | Current |
Accepting new patients |
| Orthopedic Surgical Partners, P.C. | Orthopaedic Surgery | Current |
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 404
Rocky Hill, CT 06067
1111 Cromwell Ave
Ste 302
Rocky Hill, CT 06067
1111 Cromwell Ave
Ste 403
Rocky Hill, CT 06067
Interoperability endpoints
- rrisinger2389302@direct.trinity-health.org
- clinical@hos.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 49814 | CT | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9002536 | Medicaid | RI |
Other providers in Manchester, CT
- Caitlin Rinaldi
- Jennifer Lynn Rinehart
- Juan Carlos Rios
- Zulma Raquel Rios
- Rising Hearts, LLC
- Jacqueline A Rivera
- Jessie E Rivera
- Keily A Rivera
- Luis H Rivera
- Michelle Rivera
All providers in Manchester, CT · Orthopaedic Surgery Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.