NPIMap

Individual provider Active NPI

Vazgen Martirosian, MD

  • Internal Medicine Physician
  • Wakefield, RI
National Provider Identifier
1316469299
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
CMD19238 Issued in RI
Practice address
24 Salt Pond Rd
Wakefield, RI 02879-4314
Phone
(401) 642-4051
Fax
(401) 642-5053
NPI assigned
Jul 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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 CMD19238 RI Primary

Addresses

Primary practice location

24 Salt Pond Rd
Wakefield, RI 02879-4314

Mailing address

24 Salt Pond Rd Ste B1
Wakefield, RI 02879-4323
Phone (401) 642-4051

Other practice location 1

100 Kenyon Ave
Wakefield, RI 02879-4299
Phone (401) 782-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230523002017 RI Practitioner - Internal Medicine 2668743709 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Spring Health Care Management Inc 136 clinicians
Rhode Island Wellness Clinic 4 clinicians

Practice addresses (Care Compare)

100 Kenyon Ave
Wakefield, RI 02879-4216
Phone (401) 782-8000

24 Salt Pond Rd
Suite B1
Wakefield, RI 02879-4323
Phone (516) 669-5701

Hospital & facility affiliations

  • Hopehealth Hospice & Palliative Care Hospice, Providence, RI, CCN 411500
  • South County Hospital Inc Hospital, Wakefield, RI, CCN 410008
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CMD19238RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Wellness Clinic Internal Medicine CurrentSince Jul 14, 2025 Accepting new patients
Silver Spring Health Care Management, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Silver Spring Health Care Management, Inc. Internal Medicine Current Accepting new patients
Silver Spring Health Care Management, Inc Past Accepting new patients

Locations

24 Salt Pond Rd
Ste B1
Wakefield, RI 02879
Phone (401) 642-4051

70 Kenyon Ave
Unit 211
Wakefield, RI 02879
Phone (401) 789-8543

24 Salt Pond Rd
Wakefield, RI 02879
Phone (401) 451-5895

100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000

Interoperability endpoints

  • Direct secure messaging: vazgen.martirosian@xdr.hhchealthdirect.org

Organizations & group practices 16

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.

View all 16

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": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1316469299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SALT POND RD STE B1",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794323",
            "telephone_number": "401-642-4051",
            "fax_number": "401-642-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SALT POND RD",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794314",
            "telephone_number": "401-642-4051",
            "fax_number": "401-642-5053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Kenyon Ave",
            "address_purpose": "LOCATION",
            "city": "Wakefield",
            "state": "RI",
            "postal_code": "028794299",
            "country_code": "US",
            "telephone_number": "401-782-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIROSIAN",
        "first_name": "VAZGEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-12",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "CMD19238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

Verify at the official NPI Registry.