Active NPI
Steven W Ryder, M.D.
- Internal Medicine Physician
- Westport, CT
National Provider Identifier
1104069798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 028478
- Practice address
- 4 Ambler Rd W
Westport, CT 06880-3935 - Phone
- (203) 695-7933
- NPI assigned
- Apr 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME102327 | FL | |
| Internal Medicine Physician | 207R00000X | 028478 | CT | Primary |
Addresses
Primary practice location
4 Ambler Rd W
Westport, CT 06880-3935
Mailing address
4 Ambler Rd W
Westport, CT 06880-3935
Phone (203) 695-7933
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028478 | Other | CT | CT DEPARTMENT OF PUBLIC HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028478 | CT | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450396800000",
"number": "1104069798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 AMBLER RD W",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068803935",
"telephone_number": "203-695-7933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 AMBLER RD W",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068803935",
"telephone_number": "203-695-7933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYDER",
"first_name": "STEVEN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-12",
"last_updated": "2015-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME102327",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "028478",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT DEPARTMENT OF PUBLIC HEALTH",
"identifier": "028478",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.