Active NPI
David Anthony Interlini, PA
- Physician Assistant
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00867
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA00867 | RI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health & Sports Medicine LLC | Current | Accepting new patients | |
| Orthopedics Rhode Island, Inc | Physician Assistant | Current | Accepting new patients |
| Orthopedics Rhode Island, Inc | Current | Accepting new patients | |
| David Carpentier, MD Family Healthcare LTD | Past | 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.
-
- Orthopaedic Surgery Physician
- Warwick, RI
- NPI 1407231293
Physician Assistant
-
- Internal Medicine Physician
- Cranston, RI
- NPI 1275955718
-
dba South County Walk In and Primary Care, Inc.
- Family Medicine Physician
- Narragansett, RI
- NPI 1306816251
-
- Durable Medical Equipment & Medical Supplies
- Johnston, RI
- NPI 1114740230
-
- Orthopaedic Surgery Physician
- Providence, RI
- NPI 1144605932
Physician Assistant
-
dba Cranston Medical, Inc
- Emergency Medicine Physician
- Cranston, RI
- NPI 1144296054
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport, RI
- NPI 1457346413
-
- General Acute Care Hospital
- Wakefield, RI
- NPI 1952366106
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.