Individual provider Active NPI

Karl Felber, DO

  • Family Medicine Physician
  • Pawtucket, RI
National Provider Identifier
1275618498
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D000412 Issued in RI
Practice address
209 Armistice Blvd
Pawtucket Healthcare Inc
Pawtucket, RI 02860
Phone
(401) 725-4100
Fax
(401) 728-5010
NPI assigned
Oct 26, 2006
Last updated
Apr 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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 D000412 RI Primary

Addresses

Primary practice location

209 Armistice Blvd
Pawtucket Healthcare Inc
Pawtucket, RI 02860

Mailing address

209 Armistice Blvd
Pawtucket, RI 02860
Phone (401) 725-4100

Other identifiers 1

IdentifierTypeStateIssuer
7002861MedicaidRI

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
I20101103000322 RI Practitioner - Family Practice 1254333065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Armistice Urgent Care and Occupational Health, Inc.Group PAC ID 0941266415, 7 clinicians

Practice addresses (Care Compare)

209 - 211 Armistice Blvd
Pawtucket, RI 02860-3242
Phone (401) 725-4100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D000412RIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Armistice Primary Care, LLC PastSince Oct 6, 2010 Accepting new patients
Armistice Orthopedics, LLC. PastSince Jul 14, 2016 Accepting new patients

Organizations & group practices 3

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1275618498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 ARMISTICE BLVD",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-725-4100",
            "fax_number": "401-728-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 ARMISTICE BLVD",
            "address_2": "PAWTUCKET HEALTHCARE INC",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-725-4100",
            "fax_number": "401-728-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELBER",
        "first_name": "KARL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "D000412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7002861",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.