Active NPI
Michael Peter Mariorenzi, MD
- Orthopaedic Surgery Physician
- Cranston, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD07595
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093701948 | Other | RI | DURABLE EQUIPMENT |
| 32166-6 | Other | RI | RI BLUE CROSS |
| 7000833 | Medicaid | RI | |
| 208194 | Other | RI | BLUE 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
Enrollment records 1
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
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
- Our Lady of Fatima Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect Chartercare RWMC, LLC | Current | Accepting new patients | |
| Chartercare Roger Williams Medical Center | Orthopaedic Surgery | Current | Accepting new patients |
| Prospect Chartercare RWMC, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| University Orthopedics, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| University Orthopedics, Inc. | Orthopaedic Surgery | Current | 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
- 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.
-
- Internal Medicine Physician
- Providence, RI
- NPI 1285059287
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Providence, RI
- NPI 1235181041
-
- Internal Medicine Physician
- Providence, RI
- NPI 1649009507
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Cranston, RI
- NPI 1215964465
-
- Cardiovascular Disease Physician
- Providence, RI
- NPI 1326463548
-
- Orthopaedic Surgery Physician
- Cranston, RI
- NPI 1285320093
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Providence, RI
- NPI 1013332014
-
- General Acute Care Hospital
- North Providence, RI
- NPI 1871918870
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.