Individual provider Active NPI

Tolga N Kokturk, MD

  • Obstetrics & Gynecology Physician
  • Pawtucket, RI
National Provider Identifier
1083645592
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD10403 Issued in RI
Practice address
333 School St
Ste 200
Pawtucket, RI 02860
Phone
(401) 724-0600
Fax
(401) 724-8306
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD10403 RI Primary

Addresses

Primary practice location

333 School St
Ste 200
Pawtucket, RI 02860

Mailing address

333 School St
Ste 200
Pawtucket, RI 02860
Phone (401) 724-0600

Other identifiers 1

IdentifierTypeStateIssuer
7008487MedicaidRI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tolga.kokturk.1@3516.direct.athenahealth.com

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
I20040122000998 RI Practitioner - Obstetrics/Gynecology 9032011879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern New England Healthcare for Women, LLCGroup PAC ID 0042486649, 26 clinicians
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

333 School St
Suite 205
Pawtucket, RI 02860-5336
Phone (401) 724-0600

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

Hospital & facility affiliations

  • Women & Infants Hospital of Rhode Island Hospital, Providence, RI, CCN 410010
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD10403RIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern New England Healthcare for Women, LLC Obstetrics & Gynecology CurrentSince Nov 1, 2011 Accepting new patients
Affinity Physicians LLC CurrentSince Jan 1, 2017 Accepting new patients
Affinity Physicians LLC. Obstetrics & Gynecology CurrentSince Jan 1, 2017 Accepting new patients
Southern New England Healthcare for Women Obstetrics & Gynecology Current Accepting new patients

Locations

333 School St
Ste 200
Pawtucket, RI 02860
Phone (401) 724-0600

333 School St
Ste 205
Pawtucket, RI 02860
Phone (401) 724-0600

297 Promenade St
Providence, RI 02908
Phone (401) 490-6464

695 Eddy St
Ste 21
Providence, RI 02903
Phone (401) 272-1550

101 Dudley St
Providence, RI 02905
Phone (401) 453-7950

1525 Wampanoag Trl
Ste 201
Riverside, RI 02915

1525 Wampanoag Trl
Riverside, RI 02915
Phone (401) 433-4049

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

Interoperability endpoints

  • Direct secure messaging: tolga.kokturk.1@3516.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3516/brand/1/csg/24/fhir/r4

Organizations & group practices 4

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 5

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1083645592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SCHOOL ST",
            "address_2": "STE 200",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-724-0600",
            "fax_number": "401-724-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SCHOOL ST",
            "address_2": "STE 200",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-724-0600",
            "fax_number": "401-724-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKTURK",
        "first_name": "TOLGA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "RI",
            "license": "MD10403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7008487",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tolga.kokturk.1@3516.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena Direct Address",
            "address_1": "333 School St",
            "address_2": "Ste 200",
            "city": "Pawtucket",
            "state": "RI",
            "country_code": "US",
            "postal_code": "02860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.