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

Last updated

Sep 21, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

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 IncGroup PAC ID 0749176055, 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 enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Comprehensive Community Action, Inc.

  dba Family Health Services

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

  • Federally Qualified Health Center (FQHC)
  • Cranston, RI
  • NPI 1659845451
  NPD
• Comprehensive Community Action, Inc

  • Community/Behavioral Health Agency
  • Cranston, RI
  • NPI 1770849259
  NPD (past)

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

• Kent County Memorial Hospital

  dba Kent County Hospital Rehab Unit

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

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

  dba Our Lady of Fatima Hospital

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

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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

• Family Medicine Physician in Coventry, RI
• Providers in Coventry, RI by specialty
• 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.