Individual provider Active NPI

Michael Edward Spizzirri, MD

  • Gynecology Physician
  • Woonsocket, RI
National Provider Identifier
1124059936
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
L4983 Issued in RI
Practice address
20 Cumberland Hill Rd
Suite 210
Woonsocket, RI 02895
Phone
(401) 762-0700
Fax
(401) 766-1095
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X L4983 RI Primary

Addresses

Primary practice location

20 Cumberland Hill Rd
Suite 210
Woonsocket, RI 02895

Mailing address

20 Cumberland Hill Rd
Suite 210
Woonsocket, RI 02895
Phone (401) 762-0700

Other identifiers 6

IdentifierTypeStateIssuer
0700127OtherUNITED HEALTH CARE
715529OtherTUFTS
9001498MedicaidRI
002165OtherHMO OF RI
14986OtherRIBC
AA2474OtherPILGRIM HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L4983RIMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
4Sight Eyewear Inc. PastSince Jul 24, 2022 Accepting new patients
Blackstone Valley Eye Care, P.C. PastSince Aug 1, 2007 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1124059936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CUMBERLAND HILL RD",
            "address_2": "SUITE 210",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "02895",
            "telephone_number": "401-762-0700",
            "fax_number": "401-766-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CUMBERLAND HILL RD",
            "address_2": "SUITE 210",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "02895",
            "telephone_number": "401-762-0700",
            "fax_number": "401-766-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIZZIRRI",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "RI",
            "license": "L4983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0700127",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "715529",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9001498",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO OF RI",
            "identifier": "002165",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RIBC",
            "identifier": "14986",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PILGRIM HEALTH",
            "identifier": "AA2474",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

Verify at the official NPI Registry.