Individual provider Active NPI

Ron I Riesenburger, MD

  • Neurological Surgery Physician
  • Boston, MA
National Provider Identifier
1770775256
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
35089969 Issued in OH
Practice address
800 Washington Street Box 178
Tufts Medical Center
Boston, MA 02111
Phone
(617) 636-8484
Fax
(617) 636-7587
NPI assigned
Aug 17, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 35089969 OH Primary

Addresses

Primary practice location

800 Washington Street Box 178
Tufts Medical Center
Boston, MA 02111

Mailing address

800 Washington Street Box 178
Tufts Medical Center
Boston, MA 02111-1552
Phone (617) 636-8484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20081113000446 MA Practitioner - Neurosurgery 0345338315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Tufts University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New England Medical Center Group Practice IncGroup PAC ID 4789647405, 29 clinicians

Practice addresses (Care Compare)

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-7399

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
66.59 of 100Reported as individual
Quality
80
Improvement activities
0
Cost
75.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion179
Laminectomy or laminotomy (partial removal of spine bones)102

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New England Medical Center Group Practice Inc Neurological Surgery CurrentSince Aug 18, 2008 Accepting new patients
Tufts Medical Center, Inc. Past Accepting new patients

Locations

800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

800 Washington St
#178
Boston, MA 02111
Phone (617) 636-2821

Interoperability endpoints

  • Direct secure messaging: rriesenburger28884@tuftsmedicine.direct-ci.com

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 3

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": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1770775256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON STREET BOX 178",
            "address_2": "TUFTS MEDICAL CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-636-8484",
            "fax_number": "617-636-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON STREET BOX 178",
            "address_2": "TUFTS MEDICAL CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02111",
            "telephone_number": "617-636-8484",
            "fax_number": "617-636-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIESENBURGER",
        "first_name": "RON",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35089969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.