Individual provider Active NPI

Ian J Richter, DPM

  • Foot & Ankle Surgery Podiatrist
  • Milford, CT
National Provider Identifier
1164983052
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1115 Issued in CT
Practice address
309 Seaside Ave Ste 202
Milford, CT 06460-4632
Phone
(203) 876-7736
NPI assigned
Mar 25, 2019
Last updated
Jun 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1115 CT Primary

Addresses

Primary practice location

309 Seaside Ave Ste 202
Milford, CT 06460-4632

Mailing address

153 Montague Rd
Shutesbury, MA 01072-9717
Phone (413) 695-9735

Other practice location 1

299 Washington Ave
Hamden, CT 06518-3026
Phone (203) 288-4055

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220520001719 CT Practitioner - Podiatry 7719212679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Foot Care and Surgery LLCGroup PAC ID 0345455549, 3 clinicians

Practice addresses (Care Compare)

299 Washington Ave
Hamden, CT 06518-3026
Phone (203) 288-4055

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue100
Removal of skin lesions30
Removal of nail tissue421
Removal or shaving of skin growth251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1115CTMDAddiction (Substance Use Disorder) Counselor
1032CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Foot Care and Surgery, LLC Foot & Ankle Surgery CurrentSince Mar 28, 2022 Accepting new patients

Locations

299 Washington Ave
Hamden, CT 06518
Phone (203) 288-4055

299 Washington Ave
Ste 4
Hamden, CT 06518
Phone (203) 488-2055

247 Broad St
Ste 3
Milford, CT 06460
Phone (203) 693-3754

309 Seaside Ave
Ste 202
Milford, CT 06460
Phone (203) 876-7736

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: ian.richter@xdr.hhchealthdirect.org
  • Direct secure messaging: irichter426668@direct.ynhh.org

Organizations & group practices 1

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 4

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": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1164983052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 MONTAGUE RD",
            "city": "SHUTESBURY",
            "state": "MA",
            "postal_code": "010729717",
            "telephone_number": "413-695-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 SEASIDE AVE STE 202",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604632",
            "telephone_number": "203-876-7736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "299 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065183026",
            "country_code": "US",
            "telephone_number": "203-288-4055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHTER",
        "first_name": "IAN",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CT",
            "license": "1115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.