Individual provider Active NPI

Cara D. Riddle, DO

  • Internal Medicine Physician
  • Glastonbury, CT
National Provider Identifier
1194924373
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
045302 Issued in CT
Practice address
676 Hebron Ave
Glastonbury, CT 06033-2410
Phone
(860) 696-2250
Fax
(860) 696-2260
NPI assigned
Jul 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 045302 CT Primary

Addresses

Primary practice location

676 Hebron Ave
Glastonbury, CT 06033-2410

Mailing address

676 Hebron Ave
Hartford Medical Group
Glastonbury, CT 06033-3309
Phone (860) 696-2250

Other identifiers 2

IdentifierTypeStateIssuer
1194924373MedicaidCT
1194924373OtherNPI

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
I20080611000645 CT Practitioner - Internal Medicine 1557432010 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of New England, College of Osteo Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group IncGroup PAC ID 1153573902, 257 clinicians

Practice addresses (Care Compare)

35 Talcottville Rd
Vernon, CT 06066-5261
Phone (860) 870-6385

55 Meriden Ave
Suite 1D
Southington, CT 06489-3239
Phone (860) 276-5144

7 Village Green Dr
Litchfield, CT 06759-3433
Phone (860) 567-0130

Merit-based Incentive Payment System (MIPS)

Final score
94.48 of 100Reported as apm
Quality
83.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
045302CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Natchaug Hospital, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Hartford Healthcare Medical Group, Inc Internal Medicine CurrentSince Jan 1, 2013 Accepting new patients
Hartford Physician Services PC Internal Medicine Past Accepting new patients

Locations

676 Hebron Ave
Glastonbury, CT 06033
Phone (860) 659-0629

189 Storrs Rd
Mansfield Ctr, CT 06250
Phone (860) 456-1311

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: cara.riddle@xdr.hhchealthdirect.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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1194924373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 HEBRON AVE",
            "address_2": "HARTFORD MEDICAL GROUP",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333309",
            "telephone_number": "860-696-2250",
            "fax_number": "860-696-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 HEBRON AVE",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332410",
            "telephone_number": "860-696-2250",
            "fax_number": "860-696-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "CARA",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "045302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194924373",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194924373",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.