Active NPI
Vincent A Decesaris, MD
- Diagnostic Radiology Physician
- Warwick, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD04410
- Practice address
- 125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785 - Phone
- (401) 432-2500
- Fax
- (401) 453-8220
- NPI assigned
- May 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 80777 | MA | |
| Diagnostic Ultrasound Physician | 2085U0001X | MD04410 | RI | |
| Diagnostic Radiology Physician | 2085R0202X | MD04410 | RI | Primary |
Addresses
Primary practice location
125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785
Mailing address
125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785
Phone (401) 432-2500
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 034414 | Other | CT | CT LICENSE |
| 80777 | Other | MA | MA LICENSE |
| MD04410 | Other | RI | RI LICENSE |
| 7000162 | Medicaid | RI | |
| 014362 | Other | ME | ME LICENSE |
| 9565 | Other | NH | NH LICENSE |
| 3123898 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Vermont College of Medicine, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rhode Island Medical Imaging Inc
Practice addresses (Care Compare)
1 Kettle Point Ave
East Providence, RI 02914-5375
Phone (401) 626-3900
1301 Reservoir Ave
Cranston, RI 02920-6034
Phone (401) 921-9316
1500 Mineral Spring Ave
North Providence, RI 02904-3130
Phone (401) 921-9314
1525 Wampanoag TRL
Suite 101
Riverside, RI 02915-1038
Phone (401) 433-1166
211 Park St
Attleboro, MA 02703-3143
Phone (508) 222-5200
250 Toll Gate Rd
Warwick, RI 02886-4411
Phone (401) 921-9315
333 School St
Suite 105
Pawtucket, RI 02860-5335
Phone (401) 728-3040
41 Sanderson Rd
Suite 109
Smithfield, RI 02917-2611
Phone (401) 921-9202
450 Veterans Memorial Pkwy
BLDG 2
East Providence, RI 02914-5300
Phone (401) 435-3041
481 Kingstown Rd
Wakefield, RI 02879-3626
Phone (401) 921-9202
65 Sockanosset Cross Rd
Cranston, RI 02920-5536
Phone (401) 921-9202
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.17 of 100
- Quality
- 82.44
- Improvement activities
- 40
- Cost
- 86.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Medical Imaging Inc | Diagnostic Radiology | Current | Accepting new patients |
| Rhode Island Medical Imaging Inc | Diagnostic Radiology | Current | Accepting new patients |
Locations
211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200
450 Veterans Memorial Pkwy
Bldg 2
East Providence, RI 02914
Phone (401) 435-3041
20 Catamore Blvd
East Providence, RI 02914
Phone (401) 432-2520
1 Randall Sq
Providence, RI 02904
Phone (401) 272-5500
125 Metro Center Blvd
Ste 2000
Warwick, RI 02886
Phone (401) 432-2520
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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Warwick, RI
- NPI 1205874930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692316800000",
"number": "1356344089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 METRO CENTER BLVD STE 2000",
"city": "WARWICK",
"state": "RI",
"postal_code": "028861785",
"telephone_number": "401-432-2500",
"fax_number": "401-453-8220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 METRO CENTER BLVD STE 2000",
"city": "WARWICK",
"state": "RI",
"postal_code": "028861785",
"telephone_number": "401-432-2500",
"fax_number": "401-453-8220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECESARIS",
"first_name": "VINCENT",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "80777",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "RI",
"license": "MD04410",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "RI",
"license": "MD04410",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT LICENSE",
"identifier": "034414",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA LICENSE",
"identifier": "80777",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI LICENSE",
"identifier": "MD04410",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7000162",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ME LICENSE",
"identifier": "014362",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NH LICENSE",
"identifier": "9565",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3123898",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.