Daniel Choi, M.D.
Individual provider Active NPI Pediatrics Physician · Providence, RI
NPI 1306239298 · NPPES record last updated Jun 1, 2022
Key facts
- NPI
- 1306239298
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD18481 (RI)
- Practice address
- 593 Eddy St
Providence, RI 02903-4970 - Phone
- (401) 444-8351
- Fax
- (401) 444-5527
- NPI assigned
- Mar 17, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|---|
| I20220629000359 | RI | Practitioner - Pediatric Medicine |
0840565081 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Hospital | Pediatrics | Current |
Accepting new patients |
| Rhode Island Hospital | Current |
Accepting new patients |
Locations
1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000
593 Eddy St
Providence, RI 02903
593 Eddy St
Ste 5
Providence, RI 02903
Phone (401) 444-3996
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 289031 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | MD18481 | RI | Yes |
Addresses
Primary practice location
593 Eddy St
Providence, RI 02903-4970
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
Other providers in Providence, RI
- Eileen Mary Chmielewski
- Ahyeon Cho
- Kevin Cho
- Young June Choe
- Bryan Yoonsok Choi
- Kue Chung Choi
- Katelyn Choiniere
- Tze Tec Chong
- Katelyn Chopy
- Phyllis M Choquette
All providers in Providence, RI · Pediatrics 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 Jun 1, 2022. 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.