Individual provider Active NPI

Michael Damian McCarten, D.O.

  • Family Medicine Physician
  • Cranston, RI
National Provider Identifier
1033198767
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO01135 Issued in RI
Practice address
1540 Pontiac Ave
Cranston, RI 02920-4815
Phone
(401) 781-7000
Fax
(401) 781-1062
NPI assigned
Jan 11, 2006
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO01135 RI Primary

Addresses

Primary practice location

1540 Pontiac Ave
Cranston, RI 02920-4815

Mailing address

1540 Pontiac Ave
Cranston, RI 02920-4815
Phone (401) 781-7000

Other practice location 1

5 Industrial Dr Unit B
Elliot Family Medicine at Windham
Windham, NH 03087-2021
Phone (603) 894-0063

Other identifiers 1

IdentifierTypeStateIssuer
3091703MedicaidNH

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
I20220202001004 RI Practitioner - Family Practice 1658508197 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Justice AssistanceGroup PAC ID 8820535107, 3 clinicians

Practice addresses (Care Compare)

1540 Pontiac Ave
Suite B
Cranston, RI 02920-4472
Phone (401) 781-7000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Justice Assistance Family Medicine CurrentSince Jan 26, 2025 Accepting new patients
Wood River Health Services, Inc. CurrentSince Mar 1, 2022 Accepting new patients

Locations

1540 Pontiac Ave
Cranston, RI 02920
Phone (401) 781-0537

1540 Pontiac Ave
Ste B
Cranston, RI 02920
Phone (401) 781-7000

823 Main St
Hope Valley, RI 02832

17 Wells St
Westerly, RI 02891
Phone (401) 348-2020

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: justiceassistance.michaelmccarten@158806.advancedmd-direct.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1033198767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 PONTIAC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204815",
            "telephone_number": "401-781-7000",
            "fax_number": "401-781-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 PONTIAC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204815",
            "telephone_number": "401-781-7000",
            "fax_number": "401-781-1062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Industrial Dr Unit B",
            "address_2": "Elliot Family Medicine at Windham",
            "address_purpose": "LOCATION",
            "city": "Windham",
            "state": "NH",
            "postal_code": "030872021",
            "country_code": "US",
            "telephone_number": "603-894-0063",
            "fax_number": "603-894-9727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTEN",
        "first_name": "MICHAEL",
        "middle_name": "DAMIAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "DO01135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3091703",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.