Michael John Cobb, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00255 Issued in RI

Practice address

1407 S County TRL Ste 432
East Greenwich, RI 02818-1679

Phone

(401) 398-0288

Fax

(401) 471-7365

NPI assigned

Jul 7, 2005

Last updated

Jun 4, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mdri LLCGroup PAC ID 6406291632, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South County Hospital Inc Hospital, Wakefield, RI, CCN 410008
• The Miriam Hospital Hospital, Providence, RI, CCN 410012

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.cobb.1@29391.direct.athenahealth.com

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.

• Mdri LLC

  dba Blackstone Valley Medicine

  • Primary Care Clinic/Center
  • East Greenwich, RI
  • NPI 1922887157
  Medicare reassignment Care Compare group
• Physician Assist LLC

  • Surgical Physician Assistant
  • Wakefield, RI
  • NPI 1669702569
  NPD (past) Authorized official
• Shawn a Howland MD

  dba Oceanside Physician Services

  • Addiction Medicine (Preventive Medicine) Physician
  • Providence, RI
  • NPI 1265065866
  NPD
• Lucille Vega MD, Inc.

  • Family Medicine Physician
  • Warwick, RI
  • NPI 1083898498
  NPD (past)
• Musculoskeletal Institute Inc.

  • Orthopaedic Surgery of the Spine Physician
  • Providence, RI
  • NPI 1144437484
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South County Hospital Healthcare System

  • General Acute Care Hospital
  • Wakefield, RI
  • NPI 1952366106
  Care Compare affiliation
• The Miriam Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1487649430
  Care Compare affiliation

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1003813866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CAMERON WAY",
            "city": "REHOBOTH",
            "state": "MA",
            "postal_code": "027692126",
            "telephone_number": "813-326-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 S COUNTY TRL STE 432",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181679",
            "telephone_number": "401-398-0288",
            "fax_number": "401-471-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA00255",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "RI",
            "license": "PA00255",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7008957",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in East Greenwich, RI
• Providers in East Greenwich, RI by specialty
• Physician Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.