Active NPI
Richard L Irwin, M.D.
- Ophthalmology Physician
- Putnam, CT
National Provider Identifier
1700871530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 051403
- Practice address
- 5 Kennedy Dr
Putnam, CT 06260-1939 - Phone
- (860) 928-0414
- Fax
- (860) 928-2239
- NPI assigned
- Sep 19, 2005
- Reactivated
- Apr 4, 2006
- 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 | 051403 | CT | Primary |
Addresses
Primary practice location
5 Kennedy Dr
Putnam, CT 06260-1939
Mailing address
5 Kennedy Dr
Putnam, CT 06260-1939
Phone (860) 928-0414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9708057 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard L. Irwin, M.D., P.a. | Ophthalmology | Past | Accepting new patients |
| Vision Surgery Consultants PA | Ophthalmology | Past | Accepting new patients |
| Harrington Physician Services Inc | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 3
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
- Southbridge, MA
- NPI 1285754481
-
- Family Medicine Physician
- Southbridge, MA
- NPI 1346420874
Ophthalmology
-
- Ophthalmology Physician
- Wichita, KS
- NPI 1922104470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352851200000",
"number": "1700871530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 KENNEDY DR",
"city": "PUTNAM",
"state": "CT",
"postal_code": "062601939",
"telephone_number": "860-928-0414",
"fax_number": "860-928-2239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 KENNEDY DR",
"city": "PUTNAM",
"state": "CT",
"postal_code": "062601939",
"telephone_number": "860-928-0414",
"fax_number": "860-928-2239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRWIN",
"first_name": "RICHARD",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2012-11-14",
"deactivation_date": "2006-03-23",
"reactivation_date": "2006-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CT",
"license": "051403",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9708057",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Putnam, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.