RYAN MACDONOUGH
NPI 1639546005
Social Worker - Clinical in East Hartford, CT
About Ryan Macdonough NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RYAN MACDONOUGH (NPI 1639546005) is an individual clinical provider in East Hartford, Connecticut, licensed in Connecticut (9212) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ryan Macdonough is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Ryan Macdonough reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
East Hartford, CT 06118
- Reassigned Medicare billing, Connecticut enrollment
- 78 clinicians in this Medicare group
Hartford, CT 06105
- Reassigned Medicare billing, Connecticut enrollment
- 13 clinicians in this Medicare group
Hartford, CT 06105
- Reassigned Medicare billing, Connecticut enrollment
- 1,186 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EAST HARTFORD, CT 06118
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ryan Macdonough's NPI number?
The NPI number for Ryan Macdonough is 1639546005. It was assigned to this individual provider in the NPPES registry on September 1, 2015.
Where is Ryan Macdonough located?
Ryan Macdonough practices at 281 Main St, East Hartford, CT 06118. The listed phone number is (860) 291-1309.
What is Ryan Macdonough's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Ryan Macdonough enrolled in Medicare?
Yes. Ryan Macdonough is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ryan Macdonough's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Macdonough reassigns Medicare benefits to 3 organizations: Intercommunity, Inc. (East Hartford, CT), Saint Francis Hospital And Medical Center (Hartford, CT) and Trinity Health Of New England Provider Network Organization Inc (Hartford, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryan Macdonough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ryan Macdonough accept?
Health plans from Anthem Blue Cross and Blue Shield list Ryan Macdonough as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ryan Macdonough was last updated on September 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ryan Macdonough · NPI 1639546005
Clinical provider in East Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since September 1, 2015.
## Identity
- **NPI:** 1639546005 (Entity type: Individual)
- **Enumerated:** September 1, 2015
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 9212 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 281 MAIN ST, East Hartford, CT 06118-1823
- **Phone:** (860) 291-1309 · **Fax:** (860) 291-1396
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Intercommunity, Inc. (NPI 1073548533, East Hartford, CT); Saint Francis Hospital And Medical Center (NPI 1871713495, Hartford, CT); Trinity Health Of New England Provider Network Organization Inc (NPI 1003882812, Hartford, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** September 1, 2015
- **Other identifiers:** Medicaid 004050993 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1639546005) · Data from the CMS NPPES public registry.