Individual provider Active NPI

Maria A Guglielmo, M.D.

  • Neurological Surgery Physician
  • Warwick, RI
National Provider Identifier
1063504512
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD11912 Issued in RI
Practice address
120 Centerville Rd
Warwick, RI 02886-4336
Phone
(401) 738-3730
Fax
(401) 738-3777
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD11912 RI Primary

Addresses

Primary practice location

120 Centerville Rd
Warwick, RI 02886-4336

Mailing address

120 Centerville Rd
Warwick, RI 02886-4336

Other identifiers 1

IdentifierTypeStateIssuer
9004550MedicaidRI

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
I20060209000355 RI Practitioner - Neurosurgery 1658348750 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Warren Alpert Medical School of Brown University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Newport HospitalGroup PAC ID 0042111437, 42 clinicians
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians
Rhode Island HospitalGroup PAC ID 8921900044, 430 clinicians

Practice addresses (Care Compare)

11 Friendship St
Newport, RI 02840-2209
Phone (401) 845-1110

1351 S County TRL
Suite 210
East Greenwich, RI 02818-5080
Phone (401) 793-9166

690 Eddy St
Providence, RI 02903-4928
Phone (401) 793-9166

Hospital & facility affiliations

  • Newport Hospital Hospital, Newport, RI, CCN 410006
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. CurrentSince Jul 25, 2018 Accepting new patients
Newport Hospital CurrentSince Sep 1, 2021 Accepting new patients
Orthopedics Rhode Island, Inc Current Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jul 25, 2018 Accepting new patients
Orthopedics Rhode Island, Inc CurrentSince Dec 1, 2016 Accepting new patients
Newport Hospital CurrentSince Sep 1, 2021 Accepting new patients
Rhode Island Hospital CurrentSince Sep 1, 2022 Accepting new patients
Rhode Island Hospital CurrentSince Sep 1, 2022 Accepting new patients
Orthopedics Rhode Island, Inc CurrentSince Dec 1, 2016 Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients
Ocean State Neurosurgery, LLC Neurological Surgery PastSince Jan 1, 2006 Accepting new patients

Locations

1351 S County Trl
Ste 210
East Greenwich, RI 02818
Phone (401) 884-2008

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

900 Warren Ave
Ste 202
East Providence, RI 02914

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

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

593 Eddy St
#7
Providence, RI 02903
Phone (401) 444-3565

593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280

593 Eddy St
Providence, RI 02903

690 Eddy St
Providence, RI 02903
Phone (401) 274-5844

41 Sanderson Rd
Ste 105
Smithfield, RI 02917
Phone (401) 349-3990

300 Crossings Blvd
Warwick, RI 02886
Phone (716) 208-1708

120 Centerville Rd
Warwick, RI 02886
Phone (401) 562-1017

Organizations & group practices 11

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1063504512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CENTERVILLE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CENTERVILLE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864336",
            "telephone_number": "401-738-3730",
            "fax_number": "401-738-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUGLIELMO",
        "first_name": "MARIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "RI",
            "license": "MD11912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9004550",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.