Andre Covacha, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

CPA00837 Issued in RI

Practice address

2140 Mendon Rd
Cumberland, RI 02864

Phone

(401) 642-2072

Fax

(401) 305-3958

NPI assigned

Sep 10, 2015

Last updated

Oct 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in RI, MA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rhode Island Medical Imaging IncGroup PAC ID 8022097815, 107 clinicians

Silver Spring Health Care Management IncGroup PAC ID 4688661127, 136 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Miriam Hospital Hospital, Providence, RI, CCN 410012
• Newport Hospital Hospital, Newport, RI, CCN 410006
• Rhode Island Hospital Hospital, Providence, RI, CCN 410007
• Roger Williams Medical Center Hospital, Providence, RI, CCN 410004

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Silver Spring Health Care Management, Inc.

  dba SCMG Express Care East Greenwich

  • Internal Medicine Physician
  • East Greenwich, RI
  • NPI 1568555183

  Physician Assistant

  Medicare reassignment Care Compare group NPD (past)
• Rhode Island Medical Imaging Inc

  • Diagnostic Radiology Physician
  • Warwick, RI
  • NPI 1205874930
  Medicare reassignment Care Compare group
• Rhode Island Medical Imaging Inc

  • Diagnostic Radiology Physician
  • Providence, RI
  • NPI 1942376033

  MA

  Medicare reassignment NPD
• Emergency Associates of Woonsocket LLC

  • Emergency Medicine Physician
  • Woonsocket, RI
  • NPI 1912342528
  Medicare reassignment
• Silver Spring Health Care Management, Inc.

  dba SCMG Express Care Westerly

  • Internal Medicine Physician
  • Westerly, RI
  • NPI 1700249851

  Physician Assistant

  NPD
• Silver Spring Health Care Management, Inc.

  dba SCMG Nursery

  • Pediatrics Physician
  • Wakefield, RI
  • NPI 1992224497
  NPD
• Memorial Hospital

  • General Acute Care Hospital
  • Pawtucket, RI
  • NPI 1548696941
  NPD (past)
• Newport County Medical Treatment Office

  • Emergency Medicine Physician
  • Middletown, RI
  • NPI 1326190273
  NPD (past)
• Silver Spring Health Care Management, Inc

  dba SCMG Behavioral Health & Community Health Team

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wakefield, RI
  • NPI 1104871003
  NPD (past)
• Silver Spring Health Care Management, Inc.

  dba SCMG Express Care Warwick

  • Internal Medicine Physician
  • Warwick, RI
  • NPI 1346820545

  Physician Assistant

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Newport Hospital

  • General Acute Care Hospital
  • Newport, RI
  • NPI 1457346413
  Care Compare affiliation
• Prospect Chartercare RWMC, LLC

  dba Roger Williams Medical Center

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1013332014
  Care Compare affiliation
• Rhode Island Hospital

  dba LifePact

  • Ambulance
  • Providence, RI
  • NPI 1053552299

  Hospital

  Care Compare affiliation
• Rhode Island Hospital

  • Clinic/Center
  • Providence, RI
  • NPI 1154663383

  Hospital

  Care Compare affiliation
• Rhode Island Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1588659528
  Care Compare affiliation
• Rhode Island Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1972768174
  Care Compare affiliation
• The Miriam Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1487649430
  Care Compare affiliation

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1265800023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 MENDON RD",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028643843",
            "telephone_number": "401-642-2072",
            "fax_number": "401-305-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 MENDON RD",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "02864",
            "telephone_number": "401-642-2072",
            "fax_number": "401-305-3958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "RI",
            "postal_code": "028063430",
            "country_code": "US",
            "telephone_number": "401-903-0300",
            "fax_number": "401-337-5354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "67 Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "RI",
            "postal_code": "028427274",
            "country_code": "US",
            "telephone_number": "401-847-4950",
            "fax_number": "401-847-5767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Putnam Pike",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "RI",
            "postal_code": "029172408",
            "country_code": "US",
            "telephone_number": "401-757-6160",
            "fax_number": "401-349-0840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Metro Center Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028861768",
            "country_code": "US",
            "telephone_number": "401-432-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 Park St",
            "address_purpose": "LOCATION",
            "city": "Attleboro",
            "state": "MA",
            "postal_code": "027033137",
            "country_code": "US",
            "telephone_number": "508-222-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COVACHA",
        "first_name": "ANDRE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-10",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "CPA00837",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA7807",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Compass Counseling of Ri
• Concentra Health Care PA
• Concentra Primary Care PA (Concentra Primary Care)
• Maria Corwin-Gotimer, M.S. CCC/SLP
• Courtney B Huard Ms Rd LDN, LLC
• Keelin Elizabeth Covacha, PA-C
• Maureen A Crotty, M.D.
• Cumberland Counseling, LLC
• Cumberland Dental Specialists Inc.
• Cumberland Family Eye Care, LTD.

• Physician Assistant in Cumberland, RI
• Providers in Cumberland, RI by specialty
• Physician Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.

Verify at the official NPI Registry.