Individual provider Active NPI

Vincent A Catallozzi, M.D.

  • Urology Physician
  • West Warwick, RI
National Provider Identifier
1174528699
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD06163 Issued in RI
Practice address
207 Quaker LN
West Warwick, RI 02893-2283
Phone
(401) 828-7110
Fax
(401) 827-6364
NPI assigned
Jun 21, 2005
Last updated
Dec 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD06163 RI
Urology Physician 208800000X MD06163 RI Primary

Addresses

Primary practice location

207 Quaker LN
West Warwick, RI 02893-2283

Mailing address

2234 Colonial Blvd
Attn: Payer Contracting & Relations
Fort Myers, FL 33907-1412
Phone (239) 931-7342

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address referrals@urologicspecialistsofne.direct-ci.net Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040311000600 RI Practitioner - Urology 1153210919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

207 Quaker LN
West Warwick, RI 02893-2283

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6163LAMDDentist
MD06163RIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urologic Specialists of New England, LLC Urology Current Accepting new patients
Urologic Specialists of New England LLC CurrentSince Dec 20, 2016 Accepting new patients
Joseph C. Cambio, MD LTD PastSince Jul 1, 1997 Accepting new patients

Locations

125 Corliss St
#2
Providence, RI 02904

851 Main St
Ste Ab
Warren, RI 02885

207 Quaker Ln
West Warwick, RI 02893
Phone (401) 275-8110

207 Quaker Ln
Fl 1
West Warwick, RI 02893
Phone (401) 828-7110

207 Quaker Ln
Ste 100
West Warwick, RI 02893
Phone (401) 275-8110

176 Cass Ave
Woonsocket, RI 02895
Phone (401) 568-9980

Interoperability endpoints

  • Direct secure messaging: referrals@urologicspecialistsofne.direct-ci.net

Organizations & group practices 3

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 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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1174528699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 COLONIAL BLVD",
            "address_2": "ATTN: PAYER CONTRACTING & RELATIONS",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071412",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 QUAKER LN",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028932283",
            "telephone_number": "401-828-7110",
            "fax_number": "401-827-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATALLOZZI",
        "first_name": "VINCENT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "RI",
            "license": "MD06163",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "RI",
            "license": "MD06163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referrals@urologicspecialistsofne.direct-ci.net",
            "affiliation": "N",
            "endpointDescription": "Direct",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "207 Quaker Ln",
            "city": "West Warwick",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028932283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Warwick, RI

Sources for this page

Verify at the official NPI Registry.