Vincent A Catallozzi, M.D.

Key facts

NPI

1174528699

Entity type

Individual (NPI type 1)

Primary specialty

Urology Physician 208800000X

License

MD06163 (RI)

Practice address

207 Quaker LN
West Warwick, RI 02893-2283

Phone

(401) 828-7110

Fax

(401) 827-6364

NPI assigned

Jun 21, 2005

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• Urologic Specialists of New England LLC Ambulatory Surgical Clinic/Center · West Warwick, RI · NPI 1811168164
  Medicare reassignment NPD RI
• Urologic Specialists of New England, LLC Urology Physician · West Warwick, RI · NPI 1225242407
  NPD UROLOGY
• Joseph C. Cambio, MD LTD Ambulatory Surgical Clinic/Center · West Warwick, RI · NPI 1710091772
  NPD (past)

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prime Healthcare Services Landmark LLC General Acute Care Hospital · Woonsocket, RI · NPI 1699752923
  Care Compare affiliation Hospital
• Prime Healthcare Services-Landmark LLC Psychiatric Hospital Unit · Woonsocket, RI · NPI 1396722666
  Care Compare affiliation Hospital
• Prospect Chartercare Sjhsri, LLC General Acute Care Hospital · North Providence, RI · NPI 1871918870
  Care Compare affiliation Hospital
• The Miriam Hospital General Acute Care Hospital · Providence, RI · NPI 1487649430
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Urology

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Landmark Medical Center Hospital · Woonsocket, RI · CCN 410011
• The Miriam Hospital Hospital · Providence, RI · CCN 410012
• Our Lady of Fatima Hospital Hospital · North Providence, RI · CCN 410005

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

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 11, 2020.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA336910",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "1074839",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7005300",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4556831",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4767305",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "P01277532",
            "state": "RI"
        }
    ],
    "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": []
}

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All providers in West Warwick, RI · Urology Physician in Rhode Island