Ri Rheumatology LLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

RI RHEUMATOLOGY LLC

Practice address

725 Reservoir Ave Ste 204
Cranston, RI 02910-4451

Phone

(401) 563-9825

Fax

(401) 563-9826

NPI assigned

Oct 12, 2021

Last updated

Oct 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deepan Dalal, MDNPI 1962720441

Title

Provider

Phone

(401) 563-9825

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deepan Shailesh Dalal, MD, MPH

  • Rheumatology Physician
  • Cranston, RI
  • NPI 1962720441
  Medicare reassignment Care Compare group NPD Authorized official
• Khyati Arvind Patel, MD

  • Family Medicine Physician
  • Cranston, RI
  • NPI 1861788200
  Medicare reassignment Care Compare group NPD
• Alexander Tobias Jorrin, PA-C

  • Physician Assistant
  • Providence, RI
  • NPI 1811461403
  Medicare reassignment

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1194487603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE STE 204",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE STE 204",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104451",
            "telephone_number": "401-563-9825",
            "fax_number": "401-563-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RI RHEUMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "DALAL",
        "authorized_official_first_name": "DEEPAN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "401-563-9825",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhode Island State Psychiatric Hospital
• Rhode Island State Psychiatric Hospital Pharmacy
• Rhodesview Psychiatry LLC
• Ri Community Living and Supports
• Ri Departmenf of Corrections
• Ri Rheumatology LLC
• Jennifer Ricci
• Judith Marie Ricci, MSPT
• Kathleen Ricci, PA
• Carmino M Riccio, PHARMD

• Rheumatology Physician in Cranston, RI
• Providers in Cranston, RI by specialty
• Rheumatology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.