NPIMap

Individual provider Active NPI

Fred Ferri, MD

  • Internal Medicine Physician
  • Johnston, RI
National Provider Identifier
1013903400
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD06753 Issued in RI
Practice address
1539 Atwood Ave
Suite 101
Johnston, RI 02919-3262
Phone
(401) 272-3410
Fax
(401) 272-3417
NPI assigned
Sep 21, 2005
Last updated
Feb 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD06753 RI Primary

Addresses

Primary practice location

1539 Atwood Ave
Suite 101
Johnston, RI 02919-3262

Mailing address

10 Davol SQ
Suite 400
Providence, RI 02903-4754
Phone (401) 421-4000

Other identifiers 10

IdentifierTypeStateIssuer
110076290OtherRIRAILROAD MEDICARE
04-00065OtherRIUNITED HEALTH CARE
050483739OtherRIHEALTH NET TRI CARE
200758OtherRIBLUE CHIP
FF22656MedicaidRI
050483739OtherRIGREAT WEST HEALTH CARE
20396OtherRIBCBS OF RI
69830OtherRIHARVARD HEALTH PLAN
050483739OtherRICIGNA
12122581OtherRIMULTI PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050329001150 RI Practitioner - Internal Medicine 8628024940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ocean State Medical, LLCGroup PAC ID 1759542848, 6 clinicians

Practice addresses (Care Compare)

1539 Atwood Ave
Suite 101
Johnston, RI 02919-3262
Phone (401) 272-3410

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean State Medical, LLC Internal Medicine CurrentSince Jan 2, 2012 Accepting new patients
Ocean State Medical, LLC Past Accepting new patients
Coastal Medical Inc Internal Medicine Past Accepting new patients
Coastal Medical Inc Past Accepting new patients

Locations

1539 Atwood Ave
Ste 101
Johnston, RI 02919
Phone (401) 272-3410

Interoperability endpoints

  • Direct secure messaging: fred.ferri@osm.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GGEGBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GGEGBA/Endpoint/GGEGBA

Organizations & group practices 4

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 10

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1013903400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DAVOL SQ",
            "address_2": "SUITE 400",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034754",
            "telephone_number": "401-421-4000",
            "fax_number": "401-272-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 ATWOOD AVE",
            "address_2": "SUITE 101",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193262",
            "telephone_number": "401-272-3410",
            "fax_number": "401-272-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRI",
        "first_name": "FRED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD06753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110076290",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "04-00065",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET TRI CARE",
            "identifier": "050483739",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "200758",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FF22656",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST HEALTH CARE",
            "identifier": "050483739",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF RI",
            "identifier": "20396",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD HEALTH PLAN",
            "identifier": "69830",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "050483739",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTI PLAN",
            "identifier": "12122581",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

Verify at the official NPI Registry.