Individual provider Active NPI

Rachel Allison Altura, MD

  • Pediatric Hematology & Oncology Physician
  • Providence, RI
National Provider Identifier
1215933908
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
MD12346 Issued in RI
Practice address
593 Eddy St
Hasbro LL
Providence, RI 02903-4923
Phone
(401) 444-5241
Fax
(401) 444-3872
NPI assigned
Jun 27, 2005
Last updated
Mar 13, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Pathology) Physician 207ZH0000X 35076744 OH
Pediatric Hematology & Oncology Physician 2080P0207X MD12346 RI Primary
Pediatric Pathology Physician 207ZP0213X MD12346 RI

Addresses

Primary practice location

593 Eddy St
Hasbro LL
Providence, RI 02903-4923

Mailing address

593 Eddy St
HCH 122
Providence, RI 02903-4923
Phone (401) 444-6484

Other identifiers 2

IdentifierTypeStateIssuer
MD12346OtherRILICENSE
1215933MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35076744OHMDHematology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Hospital PastSince Jan 1, 1990 Accepting new patients
Rhode Island Hospital PastSince Jan 1, 1990 Accepting new patients
Rhode Island Hospital PastSince Jan 1, 1990 Accepting new patients
Rhode Island Hospital PastSince Jan 1, 1990 Accepting new patients
Rhode Island Hospital PastSince Jan 1, 1990 Accepting new patients
Rhode Island Hospital PastSince Jan 1, 1990 Accepting new patients
Rhode Island Hospital PastSince Jan 1, 1990 Accepting new patients
Rhode Island Hospital PastSince Jan 1, 1990 Accepting new patients
Rhode Island Hospital PastSince Jan 1, 1990 Accepting new patients
Rhode Island Hospital PastSince Jan 1, 1990 Accepting new patients
Rhode Island Hospital PastSince Jan 1, 1990 Accepting new patients
Rhode Island Hospital PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1215933908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "address_2": "HCH 122",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-6484",
            "fax_number": "401-444-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "address_2": "HASBRO LL",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-5241",
            "fax_number": "401-444-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTURA",
        "first_name": "RACHEL",
        "middle_name": "ALLISON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "OH",
            "license": "35076744",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "RI",
            "license": "MD12346",
            "primary": true
        },
        {
            "code": "207ZP0213X",
            "taxonomy_group": "",
            "desc": "Pathology, Pediatric Pathology",
            "state": "RI",
            "license": "MD12346",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MD12346",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215933",
            "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 Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.