Individual provider Active NPI

Amber Messitt, DO

  • Internal Medicine Physician
  • Johnston, RI
National Provider Identifier
1306157730
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO00718 Issued in RI
Practice address
1539 Atwood Ave
Johnston, RI 02919-3262
Phone
(401) 272-3410
Fax
(401) 272-3417
NPI assigned
Jun 30, 2010
Last updated
Oct 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DO00718 RI Primary

Addresses

Primary practice location

1539 Atwood Ave
Johnston, RI 02919-3262

Mailing address

1539 Atwood Ave
Suite 101
Johnston, RI 02919-3262
Phone (401) 272-3410

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
I20130920000194 RI Practitioner - Internal Medicine 3779722491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of New England, College of Osteo Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ocean State Medical, LLCGroup PAC ID 1759542848, 6 clinicians

Practice addresses (Care Compare)

1539 Atwood Ave
Suite 101
Johnston, RI 02919-3262
Phone (401) 272-3410

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO00718RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean State Medical, LLC Internal Medicine CurrentSince Sep 1, 2013 Accepting new patients
Ocean State Medical, LLC Past Accepting new patients

Locations

1539 Atwood Ave
Ste 101
Johnston, RI 02919
Phone (401) 272-3410

Interoperability endpoints

  • Direct secure messaging: amber.messitt@osm.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GGEGBA

Organizations & group practices 2

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.

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": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1306157730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 ATWOOD AVE",
            "address_2": "SUITE 101",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193262",
            "telephone_number": "401-272-3410",
            "fax_number": "401-272-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 ATWOOD AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193262",
            "telephone_number": "401-272-3410",
            "fax_number": "401-272-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSITT",
        "first_name": "AMBER",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "DO00718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

Verify at the official NPI Registry.