Active NPI
Mark A Trott, PA
- Physician Assistant
- Providence, RI
National Provider Identifier
1205892924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00053
- Practice address
- 845 N Main St
Suite 3
Providence, RI 02904-5700 - Phone
- (401) 521-7300
- Fax
- (401) 521-7307
- NPI assigned
- Apr 21, 2006
- Last updated
- Feb 28, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1279 | MA | |
| Medical Physician Assistant | 363AM0700X | 1279 | MA | |
| Physician Assistant | 363A00000X | PA00053 | RI | Primary |
| Medical Physician Assistant | 363AM0700X | PA00053 | RI |
Addresses
Primary practice location
845 N Main St
Suite 3
Providence, RI 02904-5700
Mailing address
23 Tyler St
Attleboro, MA 02703-5813
Phone (508) 226-3544
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA00053 | Other | RI | UHP RI |
| 0000023500 | Other | RI | BCBS OF RI |
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: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1985
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1287 N Main St
Providence, RI 02904-1856
Phone (401) 272-2724
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1279 | MA | MD | Mental Health Counselor |
| PA00053 | RI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Dermatology and Laser Medicine | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Providence, RI
- NPI 1881966901
-
- Dermatology Physician
- Swansea, MA
- NPI 1710523618
-
- Dermatology Physician
- Providence, RI
- NPI 1427004886
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204156800000",
"number": "1205892924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 TYLER ST",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027035813",
"telephone_number": "508-226-3544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 N MAIN ST",
"address_2": "SUITE 3",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029045700",
"telephone_number": "401-521-7300",
"fax_number": "401-521-7307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROTT",
"first_name": "MARK",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2008-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "1279",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MA",
"license": "1279",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "RI",
"license": "PA00053",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "RI",
"license": "PA00053",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHP RI",
"identifier": "PA00053",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF RI",
"identifier": "0000023500",
"state": "RI"
}
],
"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 Feb 28, 2008; 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.