NPIMap

Individual provider Active NPI

Jerry Neuwirth, MD

  • Ophthalmology Physician
  • Manchester, CT
National Provider Identifier
1992702526
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
026445 Issued in CT
Practice address
191 Main St
Manchester, CT 06042-3556
Phone
(860) 646-7704
Fax
(860) 647-7340
NPI assigned
Jun 28, 2005
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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 026445 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 jneuwirth6798@direct.stfranciscare.org Direct
Direct Messaging Address jneuwirth@retinact.intellechartdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

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
026445CTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thames Eye Group, PC Ophthalmology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jneuwirth@retinact.intellechartdirect.net

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1992702526",
    "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": "NEUWIRTH",
        "first_name": "JERRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "026445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jneuwirth6798@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": "jneuwirth@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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.