Gerardo Concilio, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD08172 Issued in RI

Practice address

132 Old River Rd
Suite203
Lincoln, RI 02865-1161

Phone

(401) 334-2949

Fax

(401) 334-0867

NPI assigned

Apr 6, 2006

Last updated

Oct 2, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Concilio Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Lincoln, RI
  • NPI 1063629129
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1174585723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 OLD RIVER RD",
            "address_2": "SUITE203",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 OLD RIVER RD",
            "address_2": "SUITE203",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651161",
            "telephone_number": "401-334-2949",
            "fax_number": "401-334-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCILIO",
        "first_name": "GERARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD08172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9020128",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Compassionate Care, Inc.
• Comprehensive Healthcare Inc.
• Comprehensive Medical Care Inc.
• Brendan Matthew Conaty, MSW
• Concilio Pediatrics
• Sarah Conlon, MSN, APRN, FNP-C
• George L Connors, PA
• Caleigh Cook
• Lesly Cordones
• Core Clinicals LLC

• Pediatrics Physician in Lincoln, RI
• Providers in Lincoln, RI by specialty
• Pediatrics Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.