NPIMap

Individual provider Active NPI

Stephen Lawrence Matarese, DO

  • Pulmonary Disease Physician
  • Warwick, RI
National Provider Identifier
1225016355
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0355 Issued in RI
Practice address
215 Toll Gate Rd
Suite 301
Warwick, RI 02886-4458
Phone
(401) 732-1508
Fax
(401) 732-1592
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 0355 RI Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 0355 RI
Internal Medicine Physician 207R00000X 0355 RI

Addresses

Primary practice location

215 Toll Gate Rd
Suite 301
Warwick, RI 02886-4458

Mailing address

215 Toll Gate Rd
Suite 301
Warwick, RI 02886-4458
Phone (401) 732-1508

Other identifiers 1

IdentifierTypeStateIssuer
SM02125MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040316000079 RI Practitioner - Sleep MedicinePractitioner - Internal MedicinePractitioner - Pulmonary Disease 1153210117 Practice locations: Warwick, RI

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Pulmonary Disease
Education
Philadelphia College of Osteopathic Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

215 Toll Gate Rd
Suite 301
Warwick, RI 02886-4462
Phone (401) 732-1508

Hospital & facility affiliations

  • Women & Infants Hospital of Rhode Island Hospital, Providence, RI, CCN 410010
  • Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009
  • Westerly Hospital Hospital, Westerly, RI, CCN 410013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0355RIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kent County Memorial Hospital Pulmonary Disease CurrentSince May 7, 1992 Accepting new patients
Kent County Memorial Hospital CurrentSince May 7, 1992 Accepting new patients
Rhode Island Sleep Diagnostics Sleep Medicine Past Accepting new patients
Stephen L. Matarese DO Pulmonary Disease Past Accepting new patients

Locations

215 Toll Gate Rd
Ste 209
Warwick, RI 02886
Phone (401) 825-8200

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

215 Toll Gate Rd
Ste 301
Warwick, RI 02886
Phone (401) 732-1508

Networks

  • goperspecta network organization-21861

Interoperability endpoints

  • Direct secure messaging: smatarese@kent.cernerdirect.carene.org
  • FHIR API: https://api.platform.athenahealth.com/9855/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1225016355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 TOLL GATE RD",
            "address_2": "SUITE 301",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864458",
            "telephone_number": "401-732-1508",
            "fax_number": "401-732-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 TOLL GATE RD",
            "address_2": "SUITE 301",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864458",
            "telephone_number": "401-732-1508",
            "fax_number": "401-732-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATARESE",
        "first_name": "STEPHEN",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "RI",
            "license": "0355",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "RI",
            "license": "0355",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "0355",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SM02125",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.