Active NPI
Patricia Ann Chace, MD
- Internal Medicine Physician
- Warwick, RI
National Provider Identifier
1285634535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD05448
- Practice address
- 475 Kilvert St
Warwick, RI 02886-1379 - Phone
- (401) 732-7105
- Fax
- (855) 205-4737
- NPI assigned
- Jul 28, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD05448 | RI | Primary |
Addresses
Primary practice location
475 Kilvert St
Warwick, RI 02886-1379
Mailing address
475 Kilvert St
Warwick, RI 02886-1379
Phone (401) 732-7105
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004025 | Other | RI | RI BCHIP |
| 406132 | Other | RI | TUFTS HEALTH PLAN |
| 6000288 | Other | RI | HARVARD PILGRIM HEALTHCAR |
| 9000605 | Medicaid | RI | |
| 050340866 | Other | RI | UNITEDHEALTHCARE |
| 110090082 | Other | RI | RAILROAD MEDICARE |
| 0000000605 | Other | RI | RI B/S |
| 3821 | Other | RI | NEIGHBORHOOD HEALTH PLAN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151013000622 | RI | Order and Referring Only - Internal Medicine | 8820176068 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD05448 | RI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404691200000",
"number": "1285634535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 KILVERT ST",
"city": "WARWICK",
"state": "RI",
"postal_code": "028861379",
"telephone_number": "401-732-7105",
"fax_number": "855-205-4737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 KILVERT ST",
"city": "WARWICK",
"state": "RI",
"postal_code": "028861379",
"telephone_number": "401-732-7105",
"fax_number": "855-205-4737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHACE",
"first_name": "PATRICIA",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-28",
"last_updated": "2014-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD05448",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI BCHIP",
"identifier": "004025",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "406132",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "6000288",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000605",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "050340866",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110090082",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI B/S",
"identifier": "0000000605",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "3821",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.