Active NPI
Peter H. Judson, M.D.
- Ophthalmology Physician
- Manchester, CT
National Provider Identifier
1376541011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 029061
- Practice address
- 191 Main St
Manchester, CT 06042-3556 - Phone
- (860) 646-7704
- Fax
- (860) 647-7340
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 029061 | CT | Primary |
Addresses
Primary practice location
191 Main St
Manchester, CT 06042-3556
Mailing address
191 Main St
Manchester, CT 06042-3556
Phone (860) 646-7704
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pjudson@retinact.intellechartdirect.net | Direct | |
| Direct Messaging Address | pjudson12479@direct.stfranciscare.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029061 | CT | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retina Consultants PC | Ophthalmology | Current | Accepting new patients |
Locations
43 Woodland St
Ste 100
Hartford, CT 06105
Phone (860) 527-9020
191 Main St
Manchester, CT 06042
Phone (860) 643-7973
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FCEACA
- pjudson@retinact.intellechartdirect.net
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.
-
- Ophthalmology Physician
- Manchester, CT
- NPI 1093748071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1376541011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 MAIN ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060423556",
"telephone_number": "860-646-7704",
"fax_number": "860-647-7340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 MAIN ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060423556",
"telephone_number": "860-646-7704",
"fax_number": "860-647-7340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDSON",
"first_name": "PETER",
"middle_name": "H.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CT",
"license": "029061",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pjudson@retinact.intellechartdirect.net",
"affiliation": "N",
"endpointDescription": "Retina Consultants, PC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "191 Main St",
"city": "Manchester",
"state": "CT",
"country_code": "US",
"postal_code": "060423556",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pjudson12479@direct.stfranciscare.org",
"affiliation": "N",
"endpointDescription": "Trinity Health of New England",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "114 Woodland St",
"city": "Hartford",
"state": "CT",
"country_code": "US",
"postal_code": "061051208",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.