Individual provider Active NPI

Timothea A Ryan, M.D.

  • Ophthalmology Physician
  • Meriden, CT
National Provider Identifier
1427170596
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
046408 Issued in CT
Practice address
546 S Broad St
Suite 1D
Meriden, CT 06450
Phone
(203) 235-2511
Fax
(203) 639-0809
NPI assigned
Apr 6, 2007
Last updated
Feb 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 046408 CT Primary

Addresses

Primary practice location

546 S Broad St
Suite 1D
Meriden, CT 06450

Mailing address

546 S Broad St
Meriden, CT 06450-6600
Phone (203) 235-2511

Other identifiers 1

IdentifierTypeStateIssuer
1427170596MedicaidCT

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
I20080719000105 CT Practitioner - Ophthalmology 6608967211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Pittsburgh School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

546 S Broad St
Meriden, CT 06450-6600
Phone (203) 235-2511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.94 of 100Reported as group
Quality
89.64
Promoting interoperability
95
Improvement activities
40
Cost
67.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery44

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Refocus Eye Health of Central Connecticut, P.C. Ophthalmology CurrentSince Nov 15, 2021 Accepting new patients
Refocus Eye Health of Central Connecticut, P.C. Ophthalmology CurrentSince Nov 15, 2021 Accepting new patients

Locations

47 Jolley Dr
Bloomfield, CT 06002
Phone (860) 243-3020

415 Highland Ave
Cheshire, CT 06410
Phone (203) 272-5494

546 S Broad St
Ste 1D
Meriden, CT 06450
Phone (203) 235-2511

87 Grandview Ave
Waterbury, CT 06708
Phone (203) 465-1353

87 Grandview Ave
Ste B
Waterbury, CT 06708
Phone (203) 465-1424

Interoperability endpoints

  • Direct secure messaging: tryan@refocus.intellechartdirect.net

Organizations & group practices 2

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 2

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1427170596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 S BROAD ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506600",
            "telephone_number": "203-235-2511",
            "fax_number": "203-639-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 S BROAD ST",
            "address_2": "SUITE 1D",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "06450",
            "telephone_number": "203-235-2511",
            "fax_number": "203-639-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "TIMOTHEA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "046408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427170596",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

Verify at the official NPI Registry.