NPIMap

Individual provider Active NPI

Sara Richer, M.D.

  • Otolaryngology Physician
  • Bridgeport, CT
National Provider Identifier
1760676696
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
047440 Issued in CT
Practice address
2800 Main St
Department of Surgery
Bridgeport, CT 06606-4201
Phone
(203) 576-5435
Fax
(203) 581-6512
NPI assigned
Sep 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 125045772 IL
Otolaryngology Physician 207Y00000X 047440 CT Primary

Addresses

Primary practice location

2800 Main St
Department of Surgery
Bridgeport, CT 06606-4201

Mailing address

2800 Main St
Department of Surgery
Bridgeport, CT 06606-4201
Phone (203) 576-5435

Other names 1

  • Sara Retsema Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091012000143 CT Practitioner - Otolaryngology 5890831507 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Rush Medical College of Rush University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians
Rehabilitation Associates IncGroup PAC ID 8022905322, shared by 2 NPIs, 525 clinicians
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

5520 Park Ave
Trumbull, CT 06611-3463
Phone (203) 785-4081

555 Bridgeport Ave
Shelton, CT 06484-4749
Phone (203) 922-1773

888 White Plains Rd
Suite 206
Trumbull, CT 06611-4552
Phone (203) 459-9666

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
047440CTMDOtolaryngology Physician
125045772ILMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health, Inc. Otolaryngology CurrentSince Jan 1, 2010 Accepting new patients
Northeast Medical Group, Inc. CurrentSince May 1, 2015 Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

5520 Park Ave
Trumbull, CT 06611
Phone (203) 334-7400

888 White Plains Rd
Ste 206
Trumbull, CT 06611
Phone (203) 445-0101

Interoperability endpoints

  • Direct secure messaging: sricher185200@direct.ynhh.org

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.

Hospital & facility affiliations 6

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": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1760676696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MAIN ST",
            "address_2": "DEPARTMENT OF SURGERY",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064201",
            "telephone_number": "203-576-5435",
            "fax_number": "203-581-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MAIN ST",
            "address_2": "DEPARTMENT OF SURGERY",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064201",
            "telephone_number": "203-576-5435",
            "fax_number": "203-581-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHER",
        "first_name": "SARA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "125045772",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CT",
            "license": "047440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "RETSEMA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.