Mary Angeli Maganto Aguinaldo
Individual provider Active NPI Internal Medicine Physician · Riverside, RI
NPI 1174046916 · NPPES record last updated Apr 23, 2025
Key facts
- NPI
- 1174046916
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD19097 (RI)
- Practice address
- 375 Wampanoag TRL
Riverside, RI 02915-2232 - Phone
- (401) 649-4050
- Fax
- (401) 649-4051
- NPI assigned
- Jul 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Coastal Medical Physicians Inc
Brown Medicine
Practice addresses (Care Compare)
375 Wampanoag TRL
Riverside, RI 02915-2232
Phone (401) 649-4000
Hospital & facility affiliations
- The Miriam Hospital
- Rhode Island Hospital
- Women & Infants Hospital of Rhode Island
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230911000273 | RI | Practitioner - Internal Medicine | 3678845609 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD19097 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brown Medicine | Multi-Specialty | Current | Accepting 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 |
| 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
245 Chapman St
Providence, RI 02905
Phone (401) 444-4741
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
900 Douglas Pike
Smithfield, RI 02917
Phone (401) 618-5507
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | MD19097 | RI | Yes |
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
Other providers in Riverside, RI
- Yasin Abul
- Advanced Dentistry of Rhode Island LLC
- Adviniacare Orchard LLC
- Katelyn Affleck
- Katelyn R Agnew
- Jesus Ismael Aguirre Jr.
- Ahavah Home LLC
- Elizabeth J Alexander
- Hina Ali
- Faith N Allen
All providers in Riverside, RI · Internal Medicine Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.