Gregory James Austin, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Cranston, RI
NPI 1285620138 · NPPES record last updated Jan 29, 2010
Key facts
- NPI
- 1285620138
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- MD07050 (RI)
- Practice address
- 725 Reservoir Ave
#101
Cranston, RI 02910-4448 - Phone
- (401) 944-3800
- Fax
- (401) 944-1342
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100804000506 | RI | Practitioner - Orthopedic Surgery |
3375676844 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect Chartercare RWMC, LLC | Current |
Accepting new patients | |
| University Orthopedics, Inc. | Orthopaedic Surgery | Current |
Accepting new patients |
| University Orthopedics, Inc. | Orthopaedic Surgery | Current |
Accepting new patients |
| Prospect Chartercare RWMC, LLC | Orthopaedic Surgery | Current |
Accepting new patients |
Locations
2138 Mendon Rd
Ste 302
Cumberland, RI 02864
Phone (401) 334-1060
825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000
2 Dudley St
Ste 200
Providence, RI 02905
Phone (401) 457-1504
725 Reservoir Ave
Ste 101
Providence, RI 02910
Phone (401) 944-0228
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD07050 | RI | Yes |
Addresses
Primary practice location
725 Reservoir Ave
#101
Cranston, RI 02910-4448
Mailing address
725 Reservoir Ave
#101
Cranston, RI 02910-4448
Phone (401) 944-3800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285620138 | Other | RI | DURABLE |
| 32154-5 | Other | RI | RI BLUE CROSS |
| 7000832 | Medicaid | RI | |
| 200859 | Other | RI | BLUE CHIP |
Other providers in Cranston, RI
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All providers in Cranston, RI · Orthopaedic Surgery Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.