Kim Crawford, M.D.
Individual provider Active NPI Family Medicine Physician · North Scituate, RI
NPI 1174579643 · NPPES record last updated Mar 5, 2014
Key facts
- NPI
- 1174579643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD 7139 (RI)
- Practice address
- 33 Danielson Pike
North Scituate, RI 02857-1877 - Phone
- (401) 647-7411
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Creighton University School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
33 Danielson Pike
North Scituate, RI 02857-1892
Phone (401) 647-7411
Hospital & facility affiliations
- The Miriam Hospital
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 |
|---|---|---|---|---|
| I20040427001299 | RI | Practitioner - Family Practice | 5698762193 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 7139 | RI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crawford Family Medicine, Inc. | Current |
Accepting new patients |
Locations
33 Danielson Pike
North Scituate, RI 02857
Phone (401) 274-4766
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD 7139 | RI | Yes |
Addresses
Primary practice location
33 Danielson Pike
North Scituate, RI 02857-1877
Mailing address
PO Box 428
33 Danielson Pike
North Scituate, RI 02857-0428
Phone (401) 647-7411
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9020220 | Medicaid | RI |
Other providers in North Scituate, RI
- James Carl Caron
- Susan Therese Charlwood
- Peter Chin
- Maria Elizabeth Cotoia
- Crawford Family Medicine, Inc.
- Torran Pierce Dooley
- Stephanie Forget
- Foster School Department
- Foster School Department
- Foster-Glocester Regional School District
All providers in North Scituate, RI · Family 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 Mar 5, 2014. 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.