Individual provider Active NPI

Larry Wineland, MD

  • Anesthesiology Physician
  • New York, NY
National Provider Identifier
1134514631
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD16465 Issued in RI
Practice address
420 E 70TH St
Apt 6C2
New York, NY 10021-5320
Phone
(917) 770-5869
NPI assigned
Apr 1, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X MD16465 RI Primary

Addresses

Primary practice location

420 E 70TH St
Apt 6C2
New York, NY 10021-5320

Mailing address

420 E 70TH St
Apt 6C2
New York, NY 10021-5320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190513001309 RI Practitioner - Anesthesiology 1850638628 Reassigns benefits to 1 organization
I20210927002461 MA Practitioner - Anesthesiology 1850638628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Narragansett Bay Anesthesia LLCGroup PAC ID 5991774929, 95 clinicians

Practice addresses (Care Compare)

1526 Atwood Ave
Johnston, RI 02919-3289
Phone (401) 459-3800

440 Swansea Mall Dr
Swansea, MA 02777-4114
Phone (508) 324-1171

Hospital & facility affiliations

  • Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009
  • Our Lady of Fatima Hospital Hospital, North Providence, RI, CCN 410005
  • Roger Williams Medical Center Hospital, Providence, RI, CCN 410004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD16465RIMDAnesthesiology Physician

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1134514631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 70TH ST",
            "address_2": "APT 6C2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 70TH ST",
            "address_2": "APT 6C2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215320",
            "telephone_number": "917-770-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINELAND",
        "first_name": "LARRY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-01",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "RI",
            "license": "MD16465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.