Active NPI
Mary Angeli Maganto Aguinaldo
- Internal Medicine Physician
- Riverside, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD19097
- Practice address
- 375 Wampanoag TRL
Riverside, RI 02915-2232 - Phone
- (401) 649-4050
- Fax
- (401) 649-4051
- NPI assigned
- Jul 24, 2017
- Last updated
- Apr 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD19097 | RI | Primary |
Addresses
Primary practice location
375 Wampanoag TRL
Riverside, RI 02915-2232
Mailing address
Dept 3010, PO Box 986524
Boston, MA 02298-6524
Phone (401) 443-4992
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
375 Wampanoag TRL
Riverside, RI 02915-2232
Phone (401) 649-4000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD19097 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Medical Physicians, Inc. | Multi-Specialty | Current | Accepting new patients |
| Brown Medicine | Multi-Specialty | Current | Accepting new patients |
| Brown Medicine | Multi-Specialty | Current | Accepting new patients |
| Brown Medicine | Multi-Specialty | Current | Accepting new patients |
| Coastal Medical Physicians, Inc. | Multi-Specialty | Current | Accepting new patients |
| Brown Medicine | Multi-Specialty | Past | Accepting new patients |
Locations
900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480
110 Elm St
Providence, RI 02903
Phone (401) 443-4992
245 Chapman St
Providence, RI 02905
Phone (401) 444-4741
593 Eddy St
Providence, RI 02903
375 Wampanoag Trl
Riverside, RI 02915
Phone (401) 649-4010
900 Douglas Pike
Smithfield, RI 02917
Phone (401) 618-5507
Organizations & group practices 6
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.
-
dba Brown Health Medical Group Primary Care
- Internal Medicine Physician
- Providence, RI
- NPI 1780273540
Multi-Specialty
-
dba Brown Health Medical Group Primary Care
- Internal Medicine Physician
- Riverside, RI
- NPI 1093678104
Multi-Specialty
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
-
- General Acute Care Hospital
- Providence, RI
- NPI 1447233788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745366400000",
"number": "1174046916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT 3010, PO BOX 986524",
"city": "BOSTON",
"state": "MA",
"postal_code": "022986524",
"telephone_number": "401-443-4992",
"fax_number": "401-537-7241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 WAMPANOAG TRL",
"city": "RIVERSIDE",
"state": "RI",
"postal_code": "029152232",
"telephone_number": "401-649-4050",
"fax_number": "401-649-4051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUINALDO",
"first_name": "MARY ANGELI",
"middle_name": "MAGANTO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-24",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD19097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.