Individual provider Active NPI

Matthew Kirk Rocheleau

  • Internal Medicine Physician
  • Warwick, RI
National Provider Identifier
1093342321
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO01241 Issued in RI
Practice address
215 Toll Gate Rd Ste 306
Warwick, RI 02886-4462
Phone
(401) 373-0820
NPI assigned
Mar 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DO01241 RI Primary

Addresses

Primary practice location

215 Toll Gate Rd Ste 306
Warwick, RI 02886-4462

Mailing address

215 Toll Gate Rd Ste 306
Warwick, RI 02886-4462
Phone (401) 373-0820

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
I20231013000400 RI Practitioner - Internal Medicine 6103240965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of New England, College of Osteo Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

215 Toll Gate Rd
Suite 306
Warwick, RI 02886-4462
Phone (401) 373-0820

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC. Internal Medicine Current Accepting new patients
Kristen R. Dimarco, DO LTD CurrentSince Jul 1, 2023 Accepting new patients
Matthew K. Rocheleau, DO LLC Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients

Locations

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

215 Toll Gate Rd
Ste 306
Warwick, RI 02886
Phone (401) 373-0820

Interoperability endpoints

  • Direct secure messaging: mkrocheleau@direct.carene.org

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1093342321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 TOLL GATE RD STE 306",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864462",
            "telephone_number": "401-373-0820",
            "fax_number": "401-373-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 TOLL GATE RD STE 306",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864462",
            "telephone_number": "401-373-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHELEAU",
        "first_name": "MATTHEW",
        "middle_name": "KIRK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "DO01241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.