Active NPI
Roy Souaid, M.D.
- Internal Medicine Physician
- Cranston, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD16758
- Practice address
- 1500 Pontiac Ave
Cranston, RI 02920-4486 - Phone
- (401) 944-4300
- Fax
- (401) 464-4071
- NPI assigned
- Jul 11, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD16758 | RI | Primary |
Addresses
Primary practice location
1500 Pontiac Ave
Cranston, RI 02920-4486
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
Phone (401) 444-6779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
88 Wharf St
Milton, MA 02186-3429
Phone (617) 696-7601
Hospital & facility affiliations
- Visiting Nurse Association of Boston
- Caretenders
- Beth Israel Deaconess Hospital - Milton
- Beth Israel Deaconess Medical Center
- Beth Israel Deaconess Hospital - Needham
- Brigham and Women Faulkner Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD16758 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Medical Care of Boston Management Corporation | Internal Medicine | Current | Accepting new patients |
Locations
93 Pond St
Sharon, MA 02067
Phone (781) 784-9212
1500 Pontiac Ave
Ste 101
Cranston, RI 02920
Phone (401) 371-0223
1500 Pontiac Ave
Cranston, RI 02920
Phone (401) 529-1819
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
Interoperability endpoints
- rsouaid255274@direct.bilh.masshiway.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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Needham, MA
- NPI 1437196359
-
- General Practice Physician
- Providence, RI
- NPI 1407116643
-
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milton, MA
- NPI 1174618953
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- General Acute Care Hospital
- Boston, MA
- NPI 1578677811
-
- Psychiatric Hospital Unit
- Boston, MA
- NPI 1033121025
-
- Home Health Agency
- Needham Heights, MA
- NPI 1396929048
-
- Home Health Agency
- Dorchester, MA
- NPI 1427051598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561075200000",
"number": "1174975445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 ELLENFIELD ST STE 101",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054541",
"telephone_number": "401-444-6779",
"fax_number": "401-444-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 PONTIAC AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029204486",
"telephone_number": "401-944-4300",
"fax_number": "401-464-4071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUAID",
"first_name": "ROY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-11",
"last_updated": "2019-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD16758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.