Individual provider Active NPI

Richard Kyle Tilton, M.D.

  • Otolaryngology Physician
  • Stamford, CT
National Provider Identifier
1326426263
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
64391 Issued in CT
Practice address
32 Strawberry Hill CT Ste 4
Stamford, CT 06902-2594
Phone
(203) 353-0000
Fax
(203) 357-8109
NPI assigned
May 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X R-10205 IA
Otolaryngology Physician 207Y00000X 64391 CT Primary

Addresses

Primary practice location

32 Strawberry Hill CT Ste 4
Stamford, CT 06902-2594

Mailing address

32 Strawberry Hill CT Ste 4
Stamford, CT 06902-2594
Phone (203) 353-0000

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
I20200601002287 CT Practitioner - Otolaryngology 3072828383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Temple University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear, Nose and Throat Center, LLPGroup PAC ID 5890842223, 10 clinicians

Practice addresses (Care Compare)

32 Strawberry Hill CT
Stamford, CT 06902-2594
Phone (203) 359-3533

Hospital & facility affiliations

  • Stamford Hospital Hospital, Stamford, CT, CCN 070006

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as group
Quality
95.87
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ear, Nose & Throat Center, LLP Otolaryngology CurrentSince Jun 30, 2020 Accepting new patients

Locations

2600 Post Rd
Southport, CT 06890
Phone (203) 255-4005

32 Strawberry Hill Ct
#4
Stamford, CT 06902
Phone (203) 353-0000

32 Strawberry Hill Ct
Ste 4
Stamford, CT 06902
Phone (203) 353-0000

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1326426263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 STRAWBERRY HILL CT STE 4",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022594",
            "telephone_number": "203-353-0000",
            "fax_number": "203-357-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 STRAWBERRY HILL CT STE 4",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022594",
            "telephone_number": "203-353-0000",
            "fax_number": "203-357-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILTON",
        "first_name": "RICHARD",
        "middle_name": "KYLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IA",
            "license": "R-10205",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CT",
            "license": "64391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.