Individual provider Active NPI

Ron Margolis, M.D.

  • Ophthalmology Physician
  • Manchester, CT
National Provider Identifier
1679757868
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
048418 Issued in CT
Practice address
191 Main St
Manchester, CT 06042-3556
Phone
(860) 646-7704
Fax
(860) 647-7340
NPI assigned
Dec 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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 048418 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

TypeEndpointUseAffiliation
Direct Messaging Address rmargolis12547@direct.stfranciscare.org Direct
Direct Messaging Address rmargolis@retinact.intellechartdirect.net Direct

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
I20100806000000 CT Practitioner - Ophthalmology 8022141340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
JS Weill Medical College, Cornell University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants PCGroup PAC ID 5799875951, 7 clinicians

Practice addresses (Care Compare)

43 Woodland St
Suite 100
Hartford, CT 06105-2339
Phone (860) 527-9020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
048418CTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Consultants PC Ophthalmology CurrentSince Aug 16, 2010 Accepting new patients

Locations

80 Shunpike Rd
Unit 101
Cromwell, CT 06416
Phone (203) 293-7293

85 Freshwater Blvd
Enfield, CT 06082
Phone (860) 741-4300

43 Woodland St
Ste 100
Hartford, CT 06105
Phone (860) 527-9020

191 Main St
Manchester, CT 06042
Phone (860) 643-7973

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCEACA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1679757868",
    "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": "MARGOLIS",
        "first_name": "RON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "048418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmargolis12547@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"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmargolis@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"
        }
    ],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.