Active NPI
Dale Steele, MD
- Pediatric Emergency Medicine (Pediatrics) Physician
- Providence, RI
National Provider Identifier
1033125166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- MD08232
- Practice address
- 593 Eddy St
Claverick 2
Providence, RI 02903-4923 - Phone
- (401) 854-2504
- Fax
- (401) 854-2519
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD08232 | RI | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | MD08232 | RI | Primary |
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | MD08232 | RI |
Addresses
Primary practice location
593 Eddy St
Claverick 2
Providence, RI 02903-4923
Mailing address
PO Box 9484
Providence, RI 02940-9484
Phone (401) 854-2500
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3186466 | Medicaid | MA | |
| 04/15/2009 | Other | RI | UNITED HEALTH CARE |
| 12/29/2008 | Other | MA | TUFTS HEALTH PLAN |
| 10/08/2009 | Other | RI | NHPRI |
| 7002877 | Medicaid | RI | |
| 06/01/2007 | Other | RI | BCBS |
| 939025129 | Other | RI | RI MEDICARE GROUP NUMBER |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group, Inc. | Pediatric Emergency Medicine | Current | Accepting new patients |
| Brown Emergency Medicine | Pediatric Emergency Medicine | Current | Accepting new patients |
| Lifespan Physician Group, Inc. | Current | Accepting new patients |
Locations
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
593 Eddy St
Providence, RI 02903
593 Eddy St
#2
Providence, RI 02903
Phone (401) 519-1604
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Providence, RI
- NPI 1962455022
Pediatric Emergency Medicine
-
- General Practice Physician
- Providence, RI
- NPI 1407116643
-
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
Pediatric Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452211200000",
"number": "1033125166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9484",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029409484",
"telephone_number": "401-854-2500",
"fax_number": "401-854-2519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 EDDY ST",
"address_2": "CLAVERICK 2",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923",
"telephone_number": "401-854-2504",
"fax_number": "401-854-2519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEELE",
"first_name": "DALE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2016-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "RI",
"license": "MD08232",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "RI",
"license": "MD08232",
"primary": true
},
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "RI",
"license": "MD08232",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3186466",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "04/15/2009",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "12/29/2008",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHPRI",
"identifier": "10/08/2009",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7002877",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "06/01/2007",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI MEDICARE GROUP NUMBER",
"identifier": "939025129",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.