Individual provider Active NPI

Dennis Joseph Aumentado, M.D.

  • Neurology Physician
  • North Smithfield, RI
National Provider Identifier
1023039740
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
7966 Issued in RI
Practice address
63 Eddie Dowling Hwy Ste 5
North Smithfield, RI 02896-7322
Phone
(401) 762-0170
Fax
(401) 762-3774
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 7966 RI Primary

Addresses

Primary practice location

63 Eddie Dowling Hwy Ste 5
North Smithfield, RI 02896-7322

Mailing address

63 Eddie Dowling Hwy Ste 5
North Smithfield, RI 02896-7322
Phone (401) 762-0170

Other identifiers 2

IdentifierTypeStateIssuer
202044OtherBLUECHIP
728570OtherTUFTS

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
I20070629000617 RI Practitioner - Neurology 2769488840 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mdri LLCGroup PAC ID 6406291632, 17 clinicians

Practice addresses (Care Compare)

6 Blackstone Valley PL
Lincoln, RI 02865-1179
Phone (401) 638-6374

63 Eddie Dowling Hwy
North Smithfield, RI 02896-7322
Phone (401) 762-0170

Hospital & facility affiliations

  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007
  • Landmark Medical Center Hospital, Woonsocket, RI, CCN 410011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7966RIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ri Neurology Group, Inc Neurology CurrentSince May 1, 2002 Accepting new patients

Locations

63 Eddie Dowling Hwy
Ste 5
North Smithfield, RI 02896
Phone (401) 762-0170

1065 Mendon Rd
Woonsocket, RI 02895
Phone (401) 762-0170

Interoperability endpoints

  • Direct secure messaging: dennisaumentado@ring.directbygreenway.com

Organizations & group practices 2

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 7

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1023039740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 EDDIE DOWLING HWY STE 5",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028967322",
            "telephone_number": "401-762-0170",
            "fax_number": "401-762-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 EDDIE DOWLING HWY STE 5",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028967322",
            "telephone_number": "401-762-0170",
            "fax_number": "401-762-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUMENTADO",
        "first_name": "DENNIS",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "RI",
            "license": "7966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP",
            "identifier": "202044",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "728570",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Smithfield, RI

Sources for this page

Verify at the official NPI Registry.