Individual provider Active NPI

Bethany Wortman, MD

  • Obstetrics & Gynecology Physician
  • Warwick, RI
National Provider Identifier
1083875876
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD13772 Issued in RI
Practice address
166 Toll Gate Rd
Warwick, RI 02886-4411
Phone
(401) 739-7000
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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 MD13772 RI Primary

Addresses

Primary practice location

166 Toll Gate Rd
Warwick, RI 02886-4411

Mailing address

166 Toll Gate Rd
Warwick, RI 02886-4411
Phone (401) 739-7000

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
I20111229000570 RI Practitioner - Obstetrics/Gynecology 0042486706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Temple University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Healthcare Services Landmark LLCGroup PAC ID 3274761069, 48 clinicians

Practice addresses (Care Compare)

206 Cass Ave
Woonsocket, RI 02895-4712
Phone (401) 767-1595

Hospital & facility affiliations

  • Landmark Medical Center Hospital, Woonsocket, RI, CCN 410011
  • Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009
  • Women & Infants Hospital of Rhode Island Hospital, Providence, RI, CCN 410010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD13772RIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services Landmark LLC CurrentSince Feb 8, 2021 Accepting new patients
Prime Healthcare Services Landmark LLC Obstetrics & Gynecology CurrentSince Feb 8, 2021 Accepting new patients
Prime Healthcare Services Landmark LLC Obstetrics & Gynecology Past Accepting new patients

Locations

206 Cass Ave
Woonsocket, RI 02895
Phone (401) 597-5070

115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701

Organizations & group practices 3

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": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1083875876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864411",
            "telephone_number": "401-739-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864411",
            "telephone_number": "401-739-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTMAN",
        "first_name": "BETHANY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "RI",
            "license": "MD13772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.