Elena M Kwetkowski, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

209812 Issued in MA

Practice address

191 Macarthur Blvd
Coventry, RI 02816-7244

Phone

(401) 828-5335

Fax

(401) 828-2914

NPI assigned

May 28, 2006

Sex

Female

Sole proprietor

No

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.

• Comprehensive Community Action, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cranston, RI
  • NPI 1366441719
  Medicare reassignment Care Compare group NPD RI
• Comprehensive Community Action, Inc

  • Community/Behavioral Health Agency
  • Cranston, RI
  • NPI 1770849259
  Care Compare group NPD (past)
• Comprehensive Community Action, Inc

  • Federally Qualified Health Center (FQHC)
  • Coventry, RI
  • NPI 1609132513
  Care Compare group
• Comprehensive Community Action, Inc

  • Community Health Clinic/Center
  • Warwick, RI
  • NPI 1609253335
  Care Compare group
• Comprehensive Community Action, Inc

  • Federally Qualified Health Center (FQHC)
  • Warwick, RI
  • NPI 1750647228
  Care Compare group
• Comprehensive Community Action, Inc

  • Federally Qualified Health Center (FQHC)
  • Cranston, RI
  • NPI 1659845451
  NPD

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

• Kent County Memorial Hospital

  • Rehabilitation Hospital Unit
  • Warwick, RI
  • NPI 1023017944
  Care Compare affiliation Hospital
• Kent County Memorial Hospital

  • General Acute Care Hospital
  • Warwick, RI
  • NPI 1386643294
  Care Compare affiliation Hospital
• Prospect Chartercare Sjhsri, LLC

  • General Acute Care Hospital
  • North Providence, RI
  • NPI 1871918870
  Care Compare affiliation Hospital

Specialty

Family Practice

Education

University of New England, College of Osteo Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Community Action Inc 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Our Lady of Fatima Hospital Hospital, North Providence, RI, CCN 410005
• Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elena.kwetkowski.p3@direct.ccap.nextgenshare.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 21, 2011.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1023065711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 RIDGEVALE CT",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029211444",
            "telephone_number": "401-828-5335",
            "fax_number": "401-828-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 MACARTHUR BLVD",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028167244",
            "telephone_number": "401-828-5335",
            "fax_number": "401-828-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWETKOWSKI",
        "first_name": "ELENA",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "209812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Rose Kent, PHARMD
• Carrilynn Kissinger
• Juliana Kohler, PHARMD
• Marina Korennaya, PHARMD
• Keryn Elizabeth Kwan-Dickinson, LMT
• L&L Senior Living LLC
• Riley Laird
• Brianna L Landry, DPT
• Julianne Langlais, RN
• Stephanie R Langlais, LICSW

• All providers in Coventry, RI
• Family Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.