Individual provider Active NPI

David Anthony Interlini, PA

  • Physician Assistant
  • Providence, RI
National Provider Identifier
1073973970
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00867 Issued in RI
Practice address
285 Promenade St
Providence, RI 02908-5794
Phone
(401) 459-4001
Fax
(401) 459-4006
NPI assigned
Mar 4, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00867 RI Primary

Addresses

Primary practice location

285 Promenade St
Providence, RI 02908-5794

Mailing address

116 1/2 George Waterman Rd
Johnston, RI 02919
Phone (401) 255-0178

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160414001276 RI Practitioner - Physician Assistant 0648578211 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedics Rhode Island IncGroup PAC ID 7012225907, 123 clinicians

Practice addresses (Care Compare)

10 High St
Wakefield, RI 02879-3176
Phone (401) 777-7000

268 Post Rd
Westerly, RI 02891-6600
Phone (401) 777-7000

300 Crossings Blvd
Warwick, RI 02886-2878
Phone (401) 777-7000

900 Warren Ave
Suite 202
East Providence, RI 02914-1430
Phone (401) 777-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA00867RIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health & Sports Medicine LLC CurrentSince Mar 7, 2016 Accepting new patients
Orthopedics Rhode Island, Inc Physician Assistant CurrentSince Mar 1, 2019 Accepting new patients
Orthopedics Rhode Island, Inc CurrentSince Mar 1, 2019 Accepting new patients
David Carpentier, MD Family Healthcare LTD PastSince Jan 3, 2000 Accepting new patients
Orthopedics Rhode Island, Inc Physician Assistant Past Accepting new patients

Locations

65 Sockanosset Cross Rd
Ste 301
Cranston, RI 02920
Phone (401) 228-6216

588 Pawtucket Ave
Pawtucket, RI 02860
Phone (401) 722-2400

285 Promenade St
Providence, RI 02908
Phone (401) 459-4001

70 Kenyon Ave
Ste 100
Wakefield, RI 02879

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

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1073973970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 1/2 GEORGE WATERMAN RD",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "02919",
            "telephone_number": "401-255-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 PROMENADE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029085794",
            "telephone_number": "401-459-4001",
            "fax_number": "401-459-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INTERLINI",
        "first_name": "DAVID",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-04",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA00867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.