Individual provider Active NPI

Stuart Demirs, M.D.

  • Internal Medicine Physician
  • Charlestown, RI
National Provider Identifier
1285685560
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD08161 Issued in RI
Practice address
4099 Old Post Rd
Charlestown, RI 02813
Phone
(401) 364-0770
Fax
(401) 364-7694
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD08161 RI
Internal Medicine Physician 207R00000X MD08161 RI Primary

Addresses

Primary practice location

4099 Old Post Rd
Charlestown, RI 02813

Mailing address

PO Box 910
Charlestown, RI 02813-0901
Phone (401) 364-0770

Other practice location 1

4099 old post rd
charlestown, RI 02813
Phone (401) 364-0770

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
I20051006000913 RI Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Pediatric Medicine 0446275663 Reassigns benefits to 1 organization
Practice locations: Charlestown, RI

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Albany Medical College of Union University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stuart V Demirs MD LLCGroup PAC ID 9739410408, 2 clinicians

Practice addresses (Care Compare)

4099 Old Post Rd
Charlestown, RI 02813-2553
Phone (401) 364-0770

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stuart V Demirs MD LLC Internal Medicine CurrentSince Jun 4, 2019 Accepting new patients

Locations

4099 Old Post Rd
Charlestown, RI 02813
Phone (401) 364-0770

Interoperability endpoints

  • Direct secure messaging: sdemirs@direct.carene.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1285685560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "028130901",
            "telephone_number": "401-364-0770",
            "fax_number": "401-364-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4099 OLD POST RD",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "02813",
            "telephone_number": "401-364-0770",
            "fax_number": "401-364-7694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4099 old post rd",
            "address_purpose": "LOCATION",
            "city": "charlestown",
            "state": "RI",
            "postal_code": "02813",
            "country_code": "US",
            "telephone_number": "401-364-0770",
            "fax_number": "401-364-7694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMIRS",
        "first_name": "STUART",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD08161",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD08161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlestown, RI

Sources for this page

Verify at the official NPI Registry.