Active NPI
Karen R. Smigel, MD
- Family Medicine Physician
- East Providence, RI
National Provider Identifier
1114905528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD08511
- Practice address
- 900 Warren Ave Ste 400
East Providence, RI 02914-1430 - Phone
- (401) 331-1221
- Fax
- (401) 751-8003
- NPI assigned
- Jan 5, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD08511 | RI | Primary |
Addresses
Primary practice location
900 Warren Ave Ste 400
East Providence, RI 02914-1430
Mailing address
PO Box 229
Wakefield, RI 02880-0229
Phone (401) 788-3929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114905528 | Medicaid | RI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ksmigel219654@direct.lifespan.org |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110303000888 | RI | Practitioner - Family Practice | 9638119142 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD08511 | RI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Medical Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Coastal Medical Physicians, Inc. | Current | Accepting new patients | |
| Lifespan Corporation | Current | Accepting new patients | |
| Coastal Medical, Inc. | Past | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Family Medicine | Past | Accepting new patients |
Locations
900 Warren Ave
Ste 400
East Providence, RI 02914
Phone (401) 331-1221
900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480
Interoperability endpoints
- ksmigel219654@brownhealth.medalliesdirect.net
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.
-
- Internal Medicine Physician
- Riverside, RI
- NPI 1093678104
-
- Internal Medicine Physician
- Providence, RI
- NPI 1780273540
Family Medicine
-
- Children's Rehabilitation Hospital
- Providence, RI
- NPI 1790221232
-
- Non-Pharmacy Dispensing Site
- Cranston, RI
- NPI 1184767022
-
- Family Medicine Physician
- Fairhaven, MA
- NPI 1336137629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712188800000",
"number": "1114905528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 229",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028800229",
"telephone_number": "401-788-3929",
"fax_number": "401-788-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 WARREN AVE STE 400",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029141430",
"telephone_number": "401-331-1221",
"fax_number": "401-751-8003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMIGEL",
"first_name": "KAREN",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-05",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "RI",
"license": "MD08511",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114905528",
"state": "RI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ksmigel219654@direct.lifespan.org",
"affiliation": "N",
"address_1": "900 Warren Ave Ste 401",
"city": "East Providence",
"state": "RI",
"country_code": "US",
"postal_code": "029141430",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in East Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.