Individual provider Active NPI

Graciette Da Silva, PA-C

  • Physician Assistant
  • Providence, RI
National Provider Identifier
1144221862
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00145 Issued in RI
Practice address
1 Randall SQ Ste 306
Providence, RI 02904-2751
Phone
(401) 751-7546
Fax
(401) 751-6888
NPI assigned
Aug 3, 2005
Last updated
Jun 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA7524 MA
Surgical Physician Assistant 363AS0400X PA00145 RI
Surgical Physician Assistant 363AS0400X PA7524 MA
Physician Assistant 363A00000X PA00145 RI Primary

Addresses

Primary practice location

1 Randall SQ Ste 306
Providence, RI 02904-2751

Mailing address

1 Randall SQ Ste 306
Providence, RI 02904-2751
Phone (401) 751-7546

Other practice location 1

1030 President Ave Ste 306
Fall River, MA 02720-5923
Phone (401) 751-7546

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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041201000491 RI Practitioner - Physician Assistant 1951366996 Reassigns benefits to 2 organizations
I20200805002189 MA Practitioner - Physician Assistant 1951366996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical and Cosmetic Dermatology of Rhode Island LLCGroup PAC ID 4183687205, 3 clinicians

Practice addresses (Care Compare)

1 Randall SQ
Suite 306
Providence, RI 02904-2751
Phone (401) 751-7546

1030 President Ave
Fall River, MA 02720-5923
Phone (401) 751-7546

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA7524MAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: graciette.dasilva@scdor.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFBBBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFBBBA/Endpoint/AFBBBA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1144221862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RANDALL SQ STE 306",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042751",
            "telephone_number": "401-751-7546",
            "fax_number": "401-751-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RANDALL SQ STE 306",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042751",
            "telephone_number": "401-751-7546",
            "fax_number": "401-751-6888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 President Ave Ste 306",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027205923",
            "country_code": "US",
            "telephone_number": "401-751-7546",
            "fax_number": "401-751-6888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DA SILVA",
        "first_name": "GRACIETTE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA7524",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "RI",
            "license": "PA00145",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MA",
            "license": "PA7524",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA00145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.