Individual provider Active NPI

Ralph Thomas Earp, MD

  • Internal Medicine Physician
  • Newport, RI
National Provider Identifier
1104823772
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD05543 Issued in RI
Practice address
50 Memorial Blvd
Aquidneck Medical Associates
Newport, RI 02840-3587
Phone
(401) 847-2290
Fax
(401) 849-8446
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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 MD05543 RI Primary

Addresses

Primary practice location

50 Memorial Blvd
Aquidneck Medical Associates
Newport, RI 02840-3587

Mailing address

50 Memorial Blvd
Aquidneck Medical Associates
Newport, RI 02840-3587
Phone (401) 847-2290

Other identifiers 1

IdentifierTypeStateIssuer
9002090MedicaidRI

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
I20100804000567 RI Practitioner - Internal Medicine 9638264856 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD05543RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. CurrentSince Sep 1, 2016 Accepting new patients
Newport Hospital CurrentSince Mar 1, 1990 Accepting new patients
Newport Hospital CurrentSince Mar 1, 1990 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Sep 1, 2016 Accepting new patients
Newport Hospital Current Accepting new patients

Locations

20 Southwest Ave
Jamestown, RI 02835
Phone (401) 423-2616

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

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

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

593 Eddy St
Providence, RI 02903

375 Wampanoag Trl
Riverside, RI 02915
Phone (401) 649-4010

Organizations & group practices 5

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1104823772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MEMORIAL BLVD",
            "address_2": "AQUIDNECK MEDICAL ASSOCIATES",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028403587",
            "telephone_number": "401-847-2290",
            "fax_number": "401-849-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MEMORIAL BLVD",
            "address_2": "AQUIDNECK MEDICAL ASSOCIATES",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028403587",
            "telephone_number": "401-847-2290",
            "fax_number": "401-849-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARP",
        "first_name": "RALPH",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD05543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9002090",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, RI

Sources for this page

Verify at the official NPI Registry.