Individual provider Active NPI

John Thomas McCaffrey, DO

  • Internal Medicine Physician
  • Newport, RI
National Provider Identifier
1063440287
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO332 Issued in RI
Practice address
409 Broadway
Newport, RI 02840-1740
Phone
(401) 849-1280
Fax
(401) 847-2815
NPI assigned
Jun 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DO332 RI Primary

Addresses

Primary practice location

409 Broadway
Newport, RI 02840-1740

Mailing address

409 Broadway
Newport, RI 02840-1740
Phone (401) 849-1280

Other identifiers 1

IdentifierTypeStateIssuer
9003034MedicaidRI

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
I20110912000486 RI Practitioner - Internal Medicine 5991976524 Reassigns benefits to 1 organization
Practice locations: Newport, RI

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO332RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Hospital Current Accepting new patients
Newport Hospital CurrentSince Feb 5, 2012 Accepting new patients
Newport Hospital CurrentSince Feb 5, 2012 Accepting new patients

Locations

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

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, 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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063440287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 BROADWAY",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028401740",
            "telephone_number": "401-849-1280",
            "fax_number": "401-847-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 BROADWAY",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028401740",
            "telephone_number": "401-849-1280",
            "fax_number": "401-847-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAFFREY",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "DO332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9003034",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, RI

Sources for this page

Verify at the official NPI Registry.