Individual provider Active NPI

Michael Peter Mariorenzi, MD

  • Orthopaedic Surgery Physician
  • Cranston, RI
National Provider Identifier
1093701948
Registry record updated Jan 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD07595 Issued in RI
Practice address
725 Reservoir Ave
#101
Cranston, RI 02910-4448
Phone
(401) 944-3800
Fax
(401) 944-1342
NPI assigned
Sep 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD07595 RI Primary

Addresses

Primary practice location

725 Reservoir Ave
#101
Cranston, RI 02910-4448

Mailing address

725 Reservoir Ave
#101
Cranston, RI 02910-4448
Phone (401) 944-3800

Other identifiers 4

IdentifierTypeStateIssuer
1093701948OtherRIDURABLE EQUIPMENT
32166-6OtherRIRI BLUE CROSS
7000833MedicaidRI
208194OtherRIBLUE CHIP

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
I20100225000634 RI Practitioner - Orthopedic Surgery 9436293685 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Georgetown University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Orthopedics IncGroup PAC ID 9931000395, 185 clinicians
Prospect Chartercare RWMC, LLCGroup PAC ID 0547492696, 66 clinicians

Practice addresses (Care Compare)

2 Dudley St
Suite 200
Providence, RI 02905-3248
Phone (401) 457-1500

50 Maude St
Providence, RI 02908-4325
Phone (401) 456-2075

825 Chalkstone Ave
Providence, RI 02908-4735

Hospital & facility affiliations

  • Roger Williams Medical Center Hospital, Providence, RI, CCN 410004
  • Our Lady of Fatima Hospital Hospital, North Providence, RI, CCN 410005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Chartercare RWMC, LLC CurrentSince Apr 7, 2016 Accepting new patients
Chartercare Roger Williams Medical Center Orthopaedic Surgery CurrentSince May 28, 2025 Accepting new patients
Prospect Chartercare RWMC, LLC Orthopaedic Surgery CurrentSince Apr 7, 2016 Accepting new patients
University Orthopedics, Inc. Orthopaedic Surgery CurrentSince Apr 1, 2023 Accepting new patients
University Orthopedics, Inc. Orthopaedic Surgery CurrentSince Apr 1, 2023 Accepting new patients

Locations

2138 Mendon Rd
Ste 302
Cumberland, RI 02864
Phone (401) 334-1060

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

725 Reservoir Ave
Ste 101
Providence, RI 02910
Phone (401) 944-0228

2 Dudley St
Ste 200
Providence, RI 02905
Phone (401) 457-1504

Interoperability endpoints

  • Direct secure messaging: michael.mariorenzi.2@13709.direct.athenahealth.com

Organizations & group practices 6

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 2

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263600000000",
    "number": "1093701948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE",
            "address_2": "#101",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104448",
            "telephone_number": "401-944-3800",
            "fax_number": "401-944-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE",
            "address_2": "#101",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104448",
            "telephone_number": "401-944-3800",
            "fax_number": "401-944-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIORENZI",
        "first_name": "MICHAEL",
        "middle_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2010-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "RI",
            "license": "MD07595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DURABLE EQUIPMENT",
            "identifier": "1093701948",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BLUE CROSS",
            "identifier": "32166-6",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000833",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "208194",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.