Individual provider Active NPI

Teresita Hamilton, MD

  • Family Medicine Physician
  • Riverside, RI
National Provider Identifier
1245389576
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD10323 Issued in RI
Practice address
100 Bullocks Point Ave
Riverside, RI 02915-5351
Phone
(401) 437-1008
Fax
(401) 433-3042
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD10323 RI Primary

Addresses

Primary practice location

100 Bullocks Point Ave
Riverside, RI 02915-5351

Mailing address

100 Bullocks Point Ave
Riverside, RI 02915-5351
Phone (401) 437-1008

Other practice location 1

610 Waterman Ave
East Providence, RI 02914-2427
Phone (401) 437-1008

Other identifiers 4

IdentifierTypeStateIssuer
411803OtherRIUGS
411833OtherRIUGS
7008271MedicaidRI
411813OtherRIUGS

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address thamilton@direct.ebcap.nextgenshare.com
Direct Messaging Address thamilton@direct.ebcap.nextgenshare.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610000036 RI Practitioner - Family Practice 6305829474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Albany Medical College of Union University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Bullocks Point Ave
Riverside, RI 02915-5351
Phone (401) 437-1008

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Community Action Program CurrentSince Apr 13, 2004 Accepting new patients
East Bay Community Action Program CurrentSince Apr 13, 2004 Accepting new patients

Locations

2 Old County Rd
Barrington, RI 02806
Phone (401) 246-1195

610 Waterman Ave
East Providence, RI 02914
Phone (401) 435-7800

19 Broadway
Newport, RI 02840
Phone (401) 845-0564

6 John H Chafee Blvd
Newport, RI 02840
Phone (401) 239-1208

100 Bullocks Point Ave
Riverside, RI 02915
Phone (401) 437-1000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1245389576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BULLOCKS POINT AVE",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029155351",
            "telephone_number": "401-437-1008",
            "fax_number": "401-433-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BULLOCKS POINT AVE",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029155351",
            "telephone_number": "401-437-1008",
            "fax_number": "401-433-3042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 Waterman Ave",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029142427",
            "country_code": "US",
            "telephone_number": "401-437-1008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "TERESITA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD10323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UGS",
            "identifier": "411803",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UGS",
            "identifier": "411833",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7008271",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UGS",
            "identifier": "411813",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thamilton@direct.ebcap.nextgenshare.com",
            "affiliation": "N",
            "address_1": "100 Bullocks Point Ave",
            "city": "Riverside",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029155351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thamilton@direct.ebcap.nextgenshare.com",
            "affiliation": "N",
            "address_1": "610 Waterman Ave",
            "city": "East Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029142427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverside, RI

Sources for this page

Verify at the official NPI Registry.