Active NPI
Paul C Christu, MD
- Otolaryngology Physician
- Providence, RI
National Provider Identifier
1124099361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD07568
- Practice address
- 845 N Main St
Suit 1
Providence, RI 02904-5700 - Phone
- (401) 331-9690
- Fax
- (401) 331-9609
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD07568 | RI | Primary |
Addresses
Primary practice location
845 N Main St
Suit 1
Providence, RI 02904-5700
Mailing address
845 N Main St
Suit 1
Providence, RI 02904-5700
Phone (401) 331-9690
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19891 | Other | MA | HARVARD PILGRIM HEALTH CA |
| 7026038 | Other | RI | AETNA-NON-HMO |
| 010007568 | Other | CT | BLUE CROSS BLUE SHIELD |
| 10-00232 | Other | RI | UNITED HEALTH PLAN |
| J11786 | Other | MA | BLUE CROSS BLUE SHIELD |
| 1594 | Other | RI | NEIGHBORHOOD HEALTH PLAN |
| 20993-3 | Other | RI | BLUE CROSS BLUE SHIELD |
| 3621783002 | Other | RI | CIGNA |
| 2255530 | Other | RI | AETNA-HMO |
| 406470 | Other | RI | BLUE CHIP OF RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD07568 | RI | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance ENT | Otolaryngology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Otolaryngology Physician
- Providence, RI
- NPI 1891719563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403568000000",
"number": "1124099361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 N MAIN ST",
"address_2": "SUIT 1",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029045700",
"telephone_number": "401-331-9690",
"fax_number": "401-331-9609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 N MAIN ST",
"address_2": "SUIT 1",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029045700",
"telephone_number": "401-331-9690",
"fax_number": "401-331-9609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTU",
"first_name": "PAUL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2014-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "RI",
"license": "MD07568",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH CA",
"identifier": "19891",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA-NON-HMO",
"identifier": "7026038",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "010007568",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH PLAN",
"identifier": "10-00232",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "J11786",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "1594",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "20993-3",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3621783002",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA-HMO",
"identifier": "2255530",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP OF RI",
"identifier": "406470",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.