Individual provider Active NPI

Richard Vannieuwenhuize, M.D.

  • Internal Medicine Physician
  • Lincoln, RI
National Provider Identifier
1346337177
Registry record updated Apr 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
LP00150 Issued in RI
Practice address
6 Blackstone Valley PL Ste 305
Lincoln, RI 02865-1112
Phone
(401) 334-1097
Fax
(401) 305-5497
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2022

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 LP00150 RI Primary

Addresses

Primary practice location

6 Blackstone Valley PL Ste 305
Lincoln, RI 02865-1112

Mailing address

6 Blackstone Valley PL Ste 305
Lincoln, RI 02865-1112
Phone (401) 334-1097

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
I20071130000640 RI Practitioner - Internal Medicine 6103915996 Reassigns benefits to 1 organization
Practice locations: Lincoln, RI

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

132 Old River Rd
Suite 108
Lincoln, RI 02865-1397

6 Blackstone Valley PL
Suite 305
Lincoln, RI 02865-1112
Phone (401) 334-1097

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Warwick, RI, CCN 417036
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Our Lady of Fatima Hospital Hospital, North Providence, RI, CCN 410005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP00150RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services Landmark LLC CurrentSince Jan 1, 2022 Accepting new patients
Michelle C. Vannieuwenhuize, MD LLC Internal Medicine CurrentSince May 1, 2022 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

6 Blackstone Valley Pl
Ste 305
Lincoln, RI 02865
Phone (401) 334-1097

132 Old River Rd
Ste 108
Lincoln, RI 02865
Phone (401) 334-1044

115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701

Organizations & group practices 3

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 3

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650758400000",
    "number": "1346337177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL STE 305",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651112",
            "telephone_number": "401-334-1097",
            "fax_number": "401-305-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL STE 305",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651112",
            "telephone_number": "401-334-1097",
            "fax_number": "401-305-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNIEUWENHUIZE",
        "first_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2022-04-24",
        "certification_date": "2022-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "LP00150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

Verify at the official NPI Registry.