NPIMap

Individual provider Active NPI

Todd Viccione, MD

  • Internal Medicine Physician
  • East Greenwich, RI
National Provider Identifier
1356338073
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD10037 Issued in RI
Practice address
1351 S County TRL
Suite 115
East Greenwich, RI 02818-5079
Phone
(401) 884-0333
Fax
(401) 884-0096
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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 MD10037 RI Primary

Addresses

Primary practice location

1351 S County TRL
Suite 115
East Greenwich, RI 02818-5079

Mailing address

10 Davol SQ
Suite 400
Providence, RI 02903-4754
Phone (401) 421-4000

Other identifiers 13

IdentifierTypeStateIssuer
2760-5OtherRIBCBS OF RI
12117948OtherRIMULTI PLAN
405285OtherRIBLUE CHIP
050483739OtherRIGREAT WESTERN HEALTH CARE
110196402OtherRIRAILROAD MEDICARE
694204OtherRIHARVARD HEALTH CARE
710037701OtherRICIGNA
9002760MedicaidRI
04-02334OtherRIUNITED HEALTH CARE
4091OtherRINEIGHBORHOOD HEALTH PLAN
709003943OtherRIMEDICARE GROUP
2282125OtherRIAETNA
404496OtherRITUFTS HEALTH PLAN

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
I20050214000100 RI Practitioner - Internal Medicine 4486606902 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prospect Chartercare Physicians LLCGroup PAC ID 0840416657, 71 clinicians

Practice addresses (Care Compare)

1681 Cranston St
Cranston, RI 02920-5000
Phone (401) 944-6889

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Chartercare Physicians, LLC Internal Medicine CurrentSince Apr 1, 2016 Accepting new patients
Chartercare Physicians, LLC Internal Medicine CurrentSince May 28, 2025 Accepting new patients
Coastal Medical Inc Past Accepting new patients

Locations

1681 Cranston St
Cranston, RI 02920
Phone (401) 944-6889

1351 S County Trl
Ste 302
East Greenwich, RI 02818
Phone (401) 471-6405

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

501 Wampanoag Trl
Unit 2
Riverside, RI 02915
Phone (401) 435-3327

Interoperability endpoints

  • Direct secure messaging: todd.viccione.1@9000.direct.athenahealth.com

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1356338073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DAVOL SQ",
            "address_2": "SUITE 400",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034754",
            "telephone_number": "401-421-4000",
            "fax_number": "401-272-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 S COUNTY TRL",
            "address_2": "SUITE 115",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028185079",
            "telephone_number": "401-884-0333",
            "fax_number": "401-884-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICCIONE",
        "first_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD10037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF RI",
            "identifier": "2760-5",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTI PLAN",
            "identifier": "12117948",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "405285",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WESTERN HEALTH CARE",
            "identifier": "050483739",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110196402",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD HEALTH CARE",
            "identifier": "694204",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "710037701",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9002760",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "04-02334",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "4091",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "709003943",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2282125",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "404496",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenwich, RI

Sources for this page

Verify at the official NPI Registry.