Individual provider Active NPI

Mark Sigman, MD

  • Urology Physician
  • Providence, RI
National Provider Identifier
1114038155
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD07533 Issued in RI
Practice address
2 Dudley St
Suite 185
Providence, RI 02905-3236
Phone
(401) 421-0710
Fax
(401) 421-0796
NPI assigned
Aug 31, 2006
Last updated
Feb 11, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD07533 RI Primary

Addresses

Primary practice location

2 Dudley St
Suite 185
Providence, RI 02905-3236

Mailing address

195 Collyer St
Suite 201
Providence, RI 02904-1869
Phone (401) 421-0710

Other identifiers 2

IdentifierTypeStateIssuer
20348OtherRIBLUE SHIELD
9006526MedicaidRI

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
I20081112000494 RI Practitioner - Urology 3577649441 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Urology, Inc. CurrentSince Jul 31, 1991 Accepting new patients
Brown Urology, Inc. Urology CurrentSince Oct 1, 2017 Accepting new patients
The Miriam Hospital CurrentSince Jun 23, 2008 Accepting new patients
The Miriam Hospital Current Accepting new patients
The Miriam Hospital Urology CurrentSince Jun 23, 2008 Accepting new patients
Brown Urology, Inc. Urology Past Accepting new patients

Locations

450 Veterans Memorial Pkwy
Ste 14
East Providence, RI 02914
Phone (401) 435-8486

23 Powel Ave
Ste 1
Newport, RI 02840
Phone (401) 228-0631

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

195 Collyer St
Ste 104
Providence, RI 02904
Phone (401) 276-2026

195 Collyer St
Ste 201
Providence, RI 02904
Phone (401) 421-0710

2 Dudley St
Ste 175
Providence, RI 02905
Phone (401) 421-0710

593 Eddy St
Providence, RI 02903

827 N Main St
Ste 4
Providence, RI 02904
Phone (401) 276-2060

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1114038155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 COLLYER ST",
            "address_2": "SUITE 201",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041869",
            "telephone_number": "401-421-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DUDLEY ST",
            "address_2": "SUITE 185",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053236",
            "telephone_number": "401-421-0710",
            "fax_number": "401-421-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGMAN",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "RI",
            "license": "MD07533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "20348",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9006526",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.