Active NPI
Katherine Faricy-Anderson, MD MPH
- Hematology & Oncology Physician
- Providence, RI
National Provider Identifier
1194940700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- CMD13751
- Practice address
- 593 Eddy St
Providence, RI 02903-4923 - Phone
- (401) 444-8450
- Fax
- (401) 444-5088
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | CMD13751 | RI | Primary |
Addresses
Primary practice location
593 Eddy St
Providence, RI 02903-4923
Mailing address
830 Chalkstone Ave
Providence, RI 02908
Phone (401) 273-7100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251105002416 | CT | Practitioner - Medical Oncology | 9638472921 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Day Kimball Healthcare, Inc.
Practice addresses (Care Compare)
320 Pomfret St
Putnam, CT 06260-1836
Phone (860) 928-6541
Hospital & facility affiliations
- Day Kimball Hospital
- William W Backus Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CMD13751 | RI | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Day Kimball Healthcare, Inc. | Current | Accepting new patients | |
| Day Kimball Healthcare, Inc. | Hematology & Oncology | Current | Accepting new patients |
| Day Kimball Healthcare, Inc. | Current | Accepting new patients |
Locations
320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Putnam, CT
- NPI 1649243478
CT, Hematology & Oncology
-
- Home Health Agency
- Putnam, CT
- NPI 1710063367
-
- Community Based Hospice Care Agency
- Putnam, CT
- NPI 1801972450
-
- Community/Behavioral Health Agency
- Putnam, CT
- NPI 1104680966
-
- Psychiatric Hospital Unit
- Putnam, CT
- NPI 1346288131
Hospital & facility affiliations 5
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": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499990400000",
"number": "1194940700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 CHALKSTONE AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02908",
"telephone_number": "401-273-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 EDDY ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923",
"telephone_number": "401-444-8450",
"fax_number": "401-444-5088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARICY-ANDERSON",
"first_name": "KATHERINE",
"credential": "MD MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2017-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "RI",
"license": "CMD13751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2017; 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.