Robert B Patterson, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MD08076 Issued in RI

Practice address

486 Silver Spring St
Providence, RI 02904-1556

Phone

(401) 454-0690

Fax

(401) 454-4281

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1124101258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 SILVER SPRING ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041556",
            "telephone_number": "401-454-0690",
            "fax_number": "401-454-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 SILVER SPRING ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041556",
            "telephone_number": "401-454-0690",
            "fax_number": "401-454-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "ROBERT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "RI",
            "license": "MD08076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9006659",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "20902",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick K. Sullivan, MD, LTD.
• Elizabeth A Patrick, DDS
• Andrea Patrico
• Eleni Patrozou
• Laura Patterson
• Sara Patterson, MS RD LDN
• Stacey Patterson
• Deja Patton
• Archana James Pattupara, MD
• Paul a Decesare O

• Vascular Surgery Physician in Providence, RI
• Providers in Providence, RI by specialty
• Vascular Surgery Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.