Active NPI
Marguerite A. Neill, MD
- Infectious Disease Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MD07378
- Practice address
- 593 Eddy Street
Providence, RI 02903-4400 - Phone
- (401) 444-7856
- NPI assigned
- Dec 5, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD07378 | RI | |
| Infectious Disease Physician | 207RI0200X | MD07378 | RI | Primary |
Addresses
Primary practice location
593 Eddy Street
Providence, RI 02903-4400
Mailing address
Brown Medicine 110 Elm Street
Providence, RI 02903
Phone (877) 771-7401
Other practice location 1
111 Brewster St
Department of Infectious Disease
Pawtucket, RI 02860-4400
Phone (401) 729-2545
Other practice location 2
111 Brewster St
Department of Infectious Disease
Pawtucket, RI 02860-4400
Phone (401) 729-2545
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110087818A | Medicaid | MA | |
| 9006470 | Medicaid | RI | |
| 007057384 | Other | RI | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- George Washington University School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
375 Wampanoag TRL
Riverside, RI 02915-2232
Phone (401) 649-4010
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD07378 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| The Miriam Hospital | Current | Accepting new patients | |
| The Miriam Hospital | Current | Accepting new patients | |
| Brown Medicine | Internal Medicine | Current | Accepting new patients |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Brown Medicine | Current | Accepting new patients | |
| Sturdy Memorial Hospital Inc | Current | Accepting new patients | |
| Brown Medicine | Internal Medicine | Past | Accepting new patients |
| Sturdy Health, Inc. | Internal Medicine | Past | Accepting new patients |
Locations
211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
345 Blackstone Blvd
Providence, RI 02906
Phone (401) 455-6375
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
1125 N Main St
Providence, RI 02904
Phone (401) 793-2928
593 Eddy St
Providence, RI 02903
110 Elm St
Providence, RI 02903
Phone (401) 443-4992
375 Wampanoag Trl
Riverside, RI 02915
Phone (401) 649-4010
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EJFJAA
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Riverside, RI
- NPI 1689626764
-
- General Practice Physician
- Providence, RI
- NPI 1407116643
-
- Medical Specialty Clinic/Center
- Providence, RI
- NPI 1275810434
-
- General Acute Care Hospital
- Attleboro, MA
- NPI 1730106162
-
- Gastroenterology Physician
- Providence, RI
- NPI 1730827767
-
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
-
- Neurology Physician
- Providence, RI
- NPI 1689536229
-
- Cardiac Rehabilitation Clinic/Center
- East Greenwich, RI
- NPI 1518482389
-
- Endocrinology, Diabetes & Metabolism Physician
- Riverside, RI
- NPI 1104564137
Internal Medicine
-
- Internal Medicine Physician
- Mansfield, MA
- NPI 1871515874
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1164406930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BROWN MEDICINE 110 ELM STREET",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02903",
"telephone_number": "877-771-7401",
"fax_number": "401-784-4902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 EDDY STREET",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034400",
"telephone_number": "401-444-7856"
}
],
"practiceLocations": [
{
"address_1": "111 Brewster St",
"address_2": "Department of Infectious Disease",
"address_purpose": "LOCATION",
"city": "Pawtucket",
"state": "RI",
"postal_code": "028604400",
"country_code": "US",
"telephone_number": "401-729-2545",
"fax_number": "401-729-2795",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Brewster St",
"address_2": "Department of Infectious Disease",
"address_purpose": "LOCATION",
"city": "Pawtucket",
"state": "RI",
"postal_code": "028604400",
"country_code": "US",
"telephone_number": "401-729-2545",
"fax_number": "401-729-2795",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEILL",
"first_name": "MARGUERITE",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-05",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD07378",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "RI",
"license": "MD07378",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110087818A",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9006470",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "007057384",
"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 Mar 17, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.