Individual provider Active NPI

Thomas Patrick Hines, MD

  • Pediatrics Physician
  • Lincoln, RI
National Provider Identifier
1083789218
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD07345 Issued in RI
Practice address
6 Blackstone Valley Place Suite 306B
Lincoln, RI 02865
Phone
(401) 334-4021
Fax
(401) 334-4886
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD07345 RI Primary
Pediatrics Physician 208000000X 208852 MA

Addresses

Primary practice location

6 Blackstone Valley Place Suite 306B
Lincoln, RI 02865

Mailing address

6 Blackstone Valley Place Suite 306B
Lincoln, RI 02865
Phone (401) 334-4021

Other identifiers 1

IdentifierTypeStateIssuer
7005023MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220425000037 MA Practitioner - Pediatric Medicine 7214324128 Reassigns benefits to 1 organization
I20220425000686 RI Practitioner - Pediatric Medicine 7214324128 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Corporation Current Accepting new patients
Lifespan Physician Group, Inc. Pediatrics CurrentSince Apr 1, 2022 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Apr 1, 2022 Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients

Locations

152 Emory St
Attleboro, MA 02703
Phone (508) 222-6409

465 S Washington St
Unit 4
North Attleboro, MA 02760
Phone (508) 699-8444

6 Blackstone Valley Pl
Ste 306B
Lincoln, RI 02865
Phone (401) 331-4021

1 Commerce St
Ste 200
Lincoln, RI 02865
Phone (401) 793-8500

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

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

Interoperability endpoints

  • Direct secure messaging: thines203100@brownhealth.medalliesdirect.net
  • Direct secure messaging: thines@wih.cernerdirect.carene.org
  • Direct secure messaging: admin@lincolnpedi.e-mdsdirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083789218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PLACE SUITE 306B",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "02865",
            "telephone_number": "401-334-4021",
            "fax_number": "401-334-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PLACE SUITE 306B",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "02865",
            "telephone_number": "401-334-4021",
            "fax_number": "401-334-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "THOMAS",
        "middle_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD07345",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "208852",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7005023",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

Verify at the official NPI Registry.