Active NPI
Randall J Risinger, MD
- Orthopaedic Surgery Physician
- Manchester, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 49814
- Practice address
- 277 Middle Tpke W
Manchester, CT 06040 - Phone
- (860) 432-4640
- NPI assigned
- Apr 13, 2006
- Last updated
- Jun 28, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9002536 | Medicaid | RI |
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
Enrollment records 1
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
| 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 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
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 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
- clinical@hos.directbygreenway.com
- 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.
-
- Orthopaedic Surgery Physician
- Rocky Hill, CT
- NPI 1710017439
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Storrs, CT
- NPI 1639148125
-
- Orthopaedic Surgery Physician
- Enfield, CT
- NPI 1528672722
-
- Orthopaedic Surgery Physician
- Chicago, IL
- NPI 1811942451
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Hartford, CT
- NPI 1144234428
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1407833486
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1871713495
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.