Organization Active NPI

Coastline Anesthesia, LLC

  • Anesthesiology Physician
  • Warwick, RI
National Provider Identifier
1215660899
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
COASTLINE ANESTHESIA, LLC
Practice address
55 Lambert Lind Hwy Ste 100
Warwick, RI 02886-1074
Phone
(401) 737-4711
NPI assigned
Jul 1, 2022
Last updated
Dec 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Authorized official

Name
Dr. Deborah Cahill, MDNPI 1427015304
Title
Anesthesiologist
Phone
(401) 737-4711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary
Certified Registered Nurse Anesthetist 367500000X

Addresses

Primary practice location

55 Lambert Lind Hwy Ste 100
Warwick, RI 02886-1074

Mailing address

55 Lambert Lind Hwy Ste 100
Warwick, RI 02886-1074
Phone (401) 737-4711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221003000596 RI Part B Supplier - Clinic/Group Practice 1456737261 Receives reassigned benefits from 25 practitioners
Practice locations: Warwick, RI

National Provider Directory

National Provider Directory

Locations

55 Lambert Lind Hwy
Ste 100
Warwick, RI 02886
Phone (401) 737-4711

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1215660899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 LAMBERT LIND HWY STE 100",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861074",
            "telephone_number": "401-737-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAMBERT LIND HWY STE 100",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861074",
            "telephone_number": "401-737-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "CAHILL",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "ANESTHESIOLOGIST",
        "authorized_official_telephone_number": "401-737-4711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.