Active NPI
Elizabeth C. Riordan, M.D.
- Surgery Physician
- Meriden, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 045438
- Practice address
- 455 Lewis Ave
Suite 208
Meriden, CT 06451-2121 - Phone
- (203) 238-2691
- Fax
- (203) 235-3128
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 045438 | CT | Primary |
Addresses
Primary practice location
455 Lewis Ave
Suite 208
Meriden, CT 06451-2121
Mailing address
PO Box 1065
Wilbraham, MA 01095-7065
Phone (508) 595-0531
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01837214 | Medicaid | NY | |
| 010045438CT02 | Other | CT | ANTHEM BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Connecticut School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18 Haynes St
Uppr Level
Manchester, CT 06040-4111
Phone (860) 649-7557
Hospital & facility affiliations
- Waterbury Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045438 | CT | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group, Inc | Surgery | Current | Accepting new patients |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Prospect CT Medical Foundation, Inc. | Surgery | Current | Accepting new patients |
| Hartford Healthcare Medical Group Specialists, PLLC | Surgery | Current | Accepting new patients |
| Midstate Medical Group, PC | Past | Accepting new patients | |
| Hartford Healthcare Medical Group, Inc | Surgery | Past | Accepting new patients |
| Midstate Medical Group, PC | Surgery | Past | Accepting new patients |
| CBS Surgical Group, P.C. | Surgery | Past | Accepting new patients |
Locations
1801 W Olympic Blvd
#2201
Pasadena, CA 91199
18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557
455 Lewis Ave
Ste 204
Meriden, CT 06451
Phone (203) 238-2691
455 Lewis Ave
Ste 208
Meriden, CT 06451
Phone (203) 238-2691
32 Poverty Rd
Ste C
Southbury, CT 06488
98 Main St
Ste 306
Southington, CT 06489
Phone (860) 621-6704
55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
Interoperability endpoints
- elizabethriordan@amggw.allscriptsdirect.net
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Manchester, CT
- NPI 1144677568
Surgery
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
-
- Surgery Physician
- Wethersfield, CT
- NPI 1043561301
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
-
- Surgery Physician
- Meriden, CT
- NPI 1386652709
-
- Durable Medical Equipment & Medical Supplies
- Farmington, CT
- NPI 1720140221
Surgery
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Meriden, CT
- NPI 1356361315
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1477902641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211932800000",
"number": "1528078995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1065",
"city": "WILBRAHAM",
"state": "MA",
"postal_code": "010957065",
"telephone_number": "508-595-0531",
"fax_number": "508-829-5367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 LEWIS AVE",
"address_2": "SUITE 208",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064512121",
"telephone_number": "203-238-2691",
"fax_number": "203-235-3128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIORDAN",
"first_name": "ELIZABETH",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2008-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": "045438",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01837214",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "010045438CT02",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meriden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.