Individual provider Active NPI

Andrew Thomas Thorp Jr., MD, MBA

  • Cardiovascular Disease Physician
  • Lincoln, RI
National Provider Identifier
1013367515
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD19366 Issued in RI
Practice address
6 Blackstone Valley PL
Lincoln, RI 02865-1179
Phone
(401) 762-3838
Fax
(401) 762-8252
NPI assigned
Jun 15, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MD19366 RI
Cardiovascular Disease Physician 207RC0000X MD19366 RI Primary

Addresses

Primary practice location

6 Blackstone Valley PL
Lincoln, RI 02865-1179

Mailing address

6 Blackstone Valley PL Ste 105
Lincoln, RI 02865-1112
Phone (401) 762-3838

Other practice location 1

395 Atwood Ave
Cranston, RI 02920-4358
Phone (401) 464-9751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, SD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180815002790 CT Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2163799453 Reassigns benefits to 2 organizations
I20220720002151 SD Practitioner - Hospitalist 2163799453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Naugatuck Valley Cardiovascular AssociatesGroup PAC ID 0244339059, 2 clinicians

Practice addresses (Care Compare)

1625 Straits Tpke
Middlebury, CT 06762-1836
Phone (203) 758-9400

Hospital & facility affiliations

  • Waterbury Hospital Hospital, Waterbury, CT, CCN 070005
  • Saint Mary'S Hospital Hospital, Waterbury, CT, CCN 070016

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD19366RIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc Cardiovascular Disease CurrentSince Aug 4, 2023 Accepting new patients
Avera McKennan Current Accepting new patients
Sanford Clinic CurrentSince Apr 28, 2022 Accepting new patients
Sanford Clinic Current Accepting new patients
Cardiovascular Institute of New England PC Cardiovascular Disease CurrentSince Jun 11, 2023 Accepting new patients
Sanford Clinic CurrentSince Apr 28, 2022 Accepting new patients
Avera McKennan CurrentSince May 1, 2022 Accepting new patients
Naugatuck Valley Cardiovascular Associates Cardiovascular Disease CurrentSince Feb 16, 2025 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Aug 4, 2023 Accepting new patients
Avera McKennan CurrentSince May 1, 2022 Accepting new patients

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

1625 Straits Tpke
Ste 209
Middlebury, CT 06762
Phone (203) 758-9100

1320 W Main St
Waterbury, CT 06708
Phone (203) 709-7300

1981 E Main St
Waterbury, CT 06705
Phone (203) 709-5520

395 Atwood Ave
Cranston, RI 02920
Phone (401) 464-9751

6 Blackstone Valley Pl
Ste 105
Lincoln, RI 02865
Phone (401) 464-9751

300 W 5th St
Miller, SD 57362
Phone (605) 853-0158

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1013367515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL STE 105",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651112",
            "telephone_number": "401-762-3838",
            "fax_number": "401-762-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651179",
            "telephone_number": "401-762-3838",
            "fax_number": "401-762-8252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 Atwood Ave",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029204358",
            "country_code": "US",
            "telephone_number": "401-464-9751",
            "fax_number": "401-464-9755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORP",
        "first_name": "ANDREW",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-15",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "RI",
            "license": "MD19366",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "RI",
            "license": "MD19366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

Verify at the official NPI Registry.