Individual provider Active NPI

Gregory James Austin, MD

  • Orthopaedic Surgery Physician
  • Cranston, RI
National Provider Identifier
1285620138
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD07050 Issued in RI
Practice address
725 Reservoir Ave
#101
Cranston, RI 02910-4448
Phone
(401) 944-3800
Fax
(401) 944-1342
NPI assigned
Sep 26, 2005
Last updated
Jan 29, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD07050 RI Primary

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 4

IdentifierTypeStateIssuer
1285620138OtherRIDURABLE
200859OtherRIBLUE CHIP
7000832MedicaidRI
32154-5OtherRIRI BLUE CROSS

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
I20100804000506 RI Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 3375676844 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Orthopedics, Inc. Orthopaedic Surgery CurrentSince Apr 1, 2023 Accepting new patients
Prospect Chartercare RWMC, LLC Orthopaedic Surgery CurrentSince Apr 8, 2016 Accepting new patients
University Orthopedics, Inc. Orthopaedic Surgery CurrentSince Apr 1, 2023 Accepting new patients
Prospect Chartercare RWMC, LLC CurrentSince Apr 8, 2016 Accepting new patients

Locations

2138 Mendon Rd
Ste 302
Cumberland, RI 02864
Phone (401) 334-1060

2 Dudley St
Ste 200
Providence, RI 02905
Phone (401) 457-1504

725 Reservoir Ave
Ste 101
Providence, RI 02910
Phone (401) 944-0228

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

Organizations & group practices 5

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1285620138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE",
            "address_2": "#101",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104448",
            "telephone_number": "401-944-3800",
            "fax_number": "401-944-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE",
            "address_2": "#101",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104448",
            "telephone_number": "401-944-3800",
            "fax_number": "401-944-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "GREGORY",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "RI",
            "license": "MD07050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DURABLE",
            "identifier": "1285620138",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "200859",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000832",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BLUE CROSS",
            "identifier": "32154-5",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.