Individual provider Active NPI

Carol J Dubois, DO

  • Family Medicine Physician
  • North Smithfield, RI
National Provider Identifier
1184756199
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO307 Issued in RI
Practice address
501 Great Road Unit 102
North Smithfield, RI 02896
Phone
(401) 766-6700
Fax
(401) 765-7782
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO307 RI Primary

Addresses

Primary practice location

501 Great Road Unit 102
North Smithfield, RI 02896

Mailing address

501 Great Road Unit 102
North Smithfield, RI 02896
Phone (401) 766-6700

Other identifiers 5

IdentifierTypeStateIssuer
404336OtherTUFTS HEALTH
AA1430OtherPILGRIM
004921OtherBLUE CHIP
0100127OtherUNITED HEALTH
30726OtherBLUE CROSS

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
I20110105000526 RI Practitioner - Family Practice 7911048848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Dubois and Dubois LTDGroup PAC ID 9234270612, 2 clinicians

Practice addresses (Care Compare)

501 Great Rd
Suite 102
North Smithfield, RI 02896-6845
Phone (401) 766-6700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO307RIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ramon D Llamas MD Inc CurrentSince Jan 6, 2016 Accepting new patients
DRS Dubois & Dubois LTD Family Medicine CurrentSince Feb 1, 1991 Accepting new patients

Locations

501 Great Rd
Ste 102
North Smithfield, RI 02896
Phone (401) 766-6700

Organizations & group practices 2

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 3

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1184756199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GREAT ROAD UNIT 102",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "02896",
            "telephone_number": "401-766-6700",
            "fax_number": "401-765-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GREAT ROAD UNIT 102",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "02896",
            "telephone_number": "401-766-6700",
            "fax_number": "401-765-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "CAROL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "DO307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH",
            "identifier": "404336",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PILGRIM",
            "identifier": "AA1430",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "004921",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "0100127",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "30726",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Smithfield, RI

Sources for this page

Verify at the official NPI Registry.