Individual provider Active NPI

Tara H Cronin, M.D.

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Waterbury, CT
National Provider Identifier
1174721864
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
047744 Issued in CT
Practice address
1201 W Main St
Waterbury, CT 06708-3105
Phone
(203) 573-4885
Fax
(203) 401-6517
NPI assigned
Jul 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 047744 CT
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 047744 CT Primary

Addresses

Primary practice location

1201 W Main St
Waterbury, CT 06708-3105

Mailing address

1201 W Main St
Waterbury, CT 06708-3105
Phone (203) 597-9100

Other identifiers 1

IdentifierTypeStateIssuer
D400003709OtherCTMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tcronin@tecg.intellechartdirect.net

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
I20090820000070 CT Practitioner - Ophthalmology 0042382301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Pittsburgh School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Eye Care Group, P.C.Group PAC ID 6103876628, 16 clinicians

Practice addresses (Care Compare)

6 Business Park Dr
Suite 102
Branford, CT 06405-2988
Phone (203) 573-4849

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.49 of 100Reported as group
Quality
92.44
Promoting interoperability
100
Improvement activities
40
Cost
65.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
047744CTMDPediatric Ophthalmology and Strabismus Specialist Physician Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Care Group, P.C. Ophthalmology CurrentSince Aug 3, 2009 Accepting new patients
The Eye Care Group Ophthalmology CurrentSince Aug 3, 2009 Accepting new patients
TDG Connecticut PLLC Past Accepting new patients

Locations

6 Business Park Dr
Ste 102
Branford, CT 06405
Phone (203) 488-5411

250 Indian River Rd
Orange, CT 06477
Phone (203) 573-4849

250 Indian River Rd
Ste 100
Orange, CT 06477
Phone (203) 401-6378

1201 W Main St
Ste 100
Waterbury, CT 06708
Phone (203) 573-4849

Interoperability endpoints

  • Direct secure messaging: tara.cronin.p1@direct.theeyecaregroup.nextgenshare.com
  • Direct secure messaging: tcronin2857@direct.ynhh.org

Organizations & group practices 3

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": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1174721864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083105",
            "telephone_number": "203-597-9100",
            "fax_number": "203-573-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083105",
            "telephone_number": "203-573-4885",
            "fax_number": "203-401-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONIN",
        "first_name": "TARA",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "047744",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "CT",
            "license": "047744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "D400003709",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcronin@tecg.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "1201 W Main St",
            "city": "Waterbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "067083105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.