Fredy P Roland, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD06717 Issued in RI

Practice address

333 School St
Suite 215
Pawtucket, RI 02860-5334

Phone

(401) 722-1880

Fax

(401) 726-0920

NPI assigned

Apr 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Addiction Recovery Institute

  • Community/Behavioral Health Agency
  • Pawtucket, RI
  • NPI 1053474213
  NPD
• Addiction Recovery Institute-South

  • Community/Behavioral Health Agency
  • Warwick, RI
  • NPI 1265595433
  NPD

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1124080254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SCHOOL ST",
            "address_2": "SUITE 215",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605334",
            "telephone_number": "401-722-1880",
            "fax_number": "401-726-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SCHOOL ST",
            "address_2": "SUITE 215",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605334",
            "telephone_number": "401-722-1880",
            "fax_number": "401-726-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLAND",
        "first_name": "FREDY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2021-04-16",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "06717",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD06717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000070",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Andrea Rodriguez Rodriguez
• Aura Isabel Rodriguez
• Pablo Rodriguez, MD
• Rogers Home Inc
• Robert R Rogers, AUDIOLOGIST
• Kristin Romaine, M.A.
• Ronald L. Ciombor D.D.S.
• Daniel Rooney, HIGH SCHOOL
• Paul G. Roque, D.D.S.
• Andrew Rork, DO

• Internal Medicine Physician in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.

Verify at the official NPI Registry.