Individual provider Active NPI

Thomas Fairweather Crain, MD

  • Cardiovascular Disease Physician
  • Providence, RI
National Provider Identifier
1003871856
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD11407 Issued in RI
Practice address
164 Summit Ave
Providence, RI 02906-2853
Phone
(401) 793-4630
NPI assigned
Apr 17, 2006
Last updated
Dec 20, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD11407 RI Primary

Addresses

Primary practice location

164 Summit Ave
Providence, RI 02906-2853

Mailing address

164 Summit Ave
Providence, RI 02906-2853
Phone (401) 793-4630

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041004000219 RI Practitioner - Cardiovascular Disease (Cardiology) 9133188428 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Georgetown University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Miriam HospitalGroup PAC ID 6901796408, 178 clinicians
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

Practice addresses (Care Compare)

1454 S County TRL
Suite 2000
East Greenwich, RI 02818-1750
Phone (401) 606-1100

164 Summit Ave
Providence, RI 02906-2853

185 A High Service Ave
North Providence, RI 02904-5114
Phone (401) 354-6050

185 High Service Ave
North Providence, RI 02904-5114
Phone (401) 354-6050

2 Dudley St
Providence, RI 02905-3236

208 Collyer St
Suite 100
Providence, RI 02904-1560
Phone (401) 793-7191

25 S County Commons Way
Suite 2
Wakefield, RI 02879-8271
Phone (401) 606-1004

407 E Ave
Suite 120
Pawtucket, RI 02860-5290
Phone (401) 475-2505

41 Sanderson Rd
Suite 103
Smithfield, RI 02917-2611
Phone (401) 606-1004

593 Eddy St
Providence, RI 02903-4923

593 Eddy St Apc
Suite 6
Providence, RI 02903-4923
Phone (401) 793-9172

593 Eddy St George BLDG 1St Floor
Providence, RI 02903-4923
Phone (401) 793-9166

900 Warren Ave
East Providence, RI 02914-1430

950 Warren Ave
FL 2
East Providence, RI 02914-1432
Phone (401) 606-1004

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD11407RIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. CurrentSince Sep 1, 2012 Accepting new patients
The Miriam Hospital CurrentSince Jan 1, 2012 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Sep 1, 2012 Accepting new patients
The Miriam Hospital Current Accepting new patients
The Miriam Hospital Current Accepting new patients
Lifespan Corporation Current Accepting new patients
The Miriam Hospital Current Accepting new patients
The Miriam Hospital Cardiovascular Disease CurrentSince Jan 1, 2012 Accepting new patients
Rhode Island Hospital Current Accepting new patients
Miriam Cardiology, Inc. Cardiovascular Disease Past Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients

Locations

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

146 W River St
#11A
Providence, RI 02904
Phone (401) 606-8250

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

208 Collyer St
Providence, RI 02904
Phone (401) 421-4200

208 Collyer St
Ste 100
Providence, RI 02904
Phone (401) 793-7191

593 Eddy St
Providence, RI 02903

593 Eddy St
Bldg 1ST
Providence, RI 02903
Phone (401) 444-3777

Interoperability endpoints

  • Direct secure messaging: tcrain6872@brownhealth.medalliesdirect.net

Organizations & group practices 12

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 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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292803200000",
    "number": "1003871856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 SUMMIT AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062853",
            "telephone_number": "401-793-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 SUMMIT AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062853",
            "telephone_number": "401-793-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIN",
        "first_name": "THOMAS",
        "middle_name": "FAIRWEATHER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2010-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "RI",
            "license": "MD11407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.