Michele G Cyr, MD
Individual provider Active NPI Internal Medicine Physician · Riverside, RI
NPI 1083668255 · NPPES record last updated Sep 12, 2016
Key facts
- NPI
- 1083668255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD06029 (RI)
- Practice address
- 375 Wampanoag TRL
Suite 301
Riverside, RI 02915-2232 - Phone
- (401) 649-4050
- Fax
- (401) 649-4051
- NPI assigned
- May 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040615001252 | RI | Practitioner - Internal Medicine | 7416931662 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD06029 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Medical Physicians, Inc. | Internal Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD06029 | RI | Yes |
Addresses
Primary practice location
375 Wampanoag TRL
Suite 301
Riverside, RI 02915-2232
Mailing address
17 Virginia Ave
Suite 107
Providence, RI 02905-4406
Phone (401) 443-4992
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9001906 | Medicaid | RI |
Other providers in Riverside, RI
- Chelsea M Cruz
- Joanne Szczygiel Cunha
- Jeffery Cunningham
- Lauren A Cushing
- CVS Health
- Maud D'Arcy
- Apaar Dadlani
- Frances Dalomba
- Brittany Dalphonse
- Christien Damiani
All providers in Riverside, RI · Internal Medicine Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.