Individual provider Active NPI

James Kenneth Cardi, M.D.

  • Internal Medicine Physician
  • Cranston, RI
National Provider Identifier
1104890292
Registry record updated Jul 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD8000 Issued in RI
Practice address
1145 Reservoir Ave
Cranston, RI 02920-6055
Phone
(401) 942-6500
NPI assigned
Feb 15, 2006
Last updated
Jul 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2017

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 MD8000 RI Primary

Addresses

Primary practice location

1145 Reservoir Ave
Cranston, RI 02920-6055

Mailing address

677 Atwood Ave
Cranston, RI 02920-5322
Phone (401) 942-6500

Other identifiers 1

IdentifierTypeStateIssuer
JC44415MedicaidRI

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
I20100929000349 RI Practitioner - Internal Medicine 3678653383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
James K. Cardi,M.D.,IncGroup PAC ID 2062592777, 3 clinicians

Practice addresses (Care Compare)

677 Atwood Ave
Cranston, RI 02920-5322
Phone (401) 942-6500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD8000RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James K. Cardi,M.D.,Inc Internal Medicine CurrentSince Jun 17, 2002 Accepting new patients
Michael J Baccari,MD.,Inc Internal Medicine PastSince Jun 17, 2002 Accepting new patients

Locations

1145 Reservoir Ave
Cranston, RI 02920
Phone (401) 228-6010

677 Atwood Ave
Cranston, RI 02920
Phone (401) 942-6500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500854400000",
    "number": "1104890292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 ATWOOD AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205322",
            "telephone_number": "401-942-6500",
            "fax_number": "401-942-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206055",
            "telephone_number": "401-942-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDI",
        "first_name": "JAMES",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2017-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD8000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "JC44415",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.