NPIMap

Individual provider Active NPI

Kevin E. Baill, MD

  • Psychiatry Physician
  • Providence, RI
National Provider Identifier
1114939170
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD12179 Issued in RI
Practice address
345 Blackstone Blvd
Providence, RI 02906-4800
Phone
(401) 455-6663
Fax
(401) 455-6592
NPI assigned
Aug 11, 2006
Last updated
May 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 16936 ME
Psychiatry Physician 2084P0800X MD12179 RI Primary

Addresses

Primary practice location

345 Blackstone Blvd
Providence, RI 02906-4800

Mailing address

345 Blackstone Blvd
Providence, RI 02906-4800
Phone (401) 455-6663

Other identifiers 7

IdentifierTypeStateIssuer
1093831646OtherBUTLER HOSPITAL PROFESSIONAL BILLING OFFICE
32135-8OtherRIBLUE CROSS
007059177OtherRIMEDICARE ID-TYPE UNSPECIFIED
432058299MedicaidME
4939170MedicaidRI
413937OtherRIBLUE CHIP
1104801349OtherRIBUTLER HOSPITAL NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbaill@kent.cernerdirect.carene.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070224000147 RI Practitioner - PsychiatryPractitioner - Other (Physician) 4385607621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Jefferson Medical College of Thomas Jefferson University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16936MEMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin E Baill, MD and Associates, LLC Current Accepting new patients
Affinity Physicians LLC CurrentSince Jul 1, 2016 Accepting new patients
Affinity Physicians LLC. Psychiatry CurrentSince Jul 1, 2016 Accepting new patients
Beth Israel Medical Center Past Accepting new patients
Maine Behavioral Healthcare Past Accepting new patients
The Providence Center Inc Psychiatry Past Accepting new patients
Beth Israel Medical Center Psychiatry & Behavioral Science Past Accepting new patients
The Providence Center Psychiatry Past Accepting new patients
The Providence Center Past Accepting new patients

Locations

345 Blackstone Blvd
Providence, RI 02906
Phone (401) 455-6375

100 Ray Dr
Providence, RI 02906
Phone (401) 455-6663

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

Interoperability endpoints

  • Direct secure messaging: kbaill@kent.cernerdirect.carene.org
  • Direct secure messaging: kbaill8910@direct.carene.org

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kent County Memorial HospitalWarwick, RI, CCN 410009 Hospital Corporate Director Jan 16, 2019
Kent County Memorial HospitalWarwick, RI, CCN 41T009 Hospital Corporate Director Jan 16, 2019
Women & Infants Hospital of Rhode IslandProvidence, RI, CCN 410010 Hospital Corporate Director Jan 16, 2019
Butler HospitalProvidence, RI, CCN 414000 Hospital Corporate Director Jan 16, 2019
Vna of Care New EnglandWarwick, RI, CCN 417006A Home health agency Corporate Director Jan 1, 2026
Vna of Care New EnglandWarwick, RI, CCN 411505A Hospice Corporate Director Jan 1, 2024

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1114939170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 BLACKSTONE BLVD",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064800",
            "telephone_number": "401-455-6663",
            "fax_number": "401-455-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 BLACKSTONE BLVD",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064800",
            "telephone_number": "401-455-6663",
            "fax_number": "401-455-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILL",
        "first_name": "KEVIN",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "16936",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "MD12179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUTLER HOSPITAL PROFESSIONAL BILLING OFFICE",
            "identifier": "1093831646",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "32135-8",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "007059177",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432058299",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4939170",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "413937",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUTLER HOSPITAL NPI",
            "identifier": "1104801349",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbaill@kent.cernerdirect.carene.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "345 Blackstone Blvd",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029064800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.