Individual provider Active NPI

Joseph Thomas Zibrida, M.D

  • Internal Medicine Physician
  • Warren, RI
National Provider Identifier
1356379242
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD10646 Issued in RI
Practice address
639 Metacom Ave
Warren, RI 02885-2348
Phone
(401) 245-1500
Fax
(401) 247-2618
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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 MD10646 RI Primary

Addresses

Primary practice location

639 Metacom Ave
Warren, RI 02885-2348

Mailing address

639 Metacom Ave
Warren, RI 02885-2348
Phone (401) 245-1500

Other identifiers 1

IdentifierTypeStateIssuer
7009047MedicaidRI

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
I20101108001228 RI Practitioner - Internal Medicine 4082739313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Drexel University College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Medical Physicians IncGroup PAC ID 0345658316, 222 clinicians

Practice addresses (Care Compare)

639 Metacom Ave
Warren, RI 02885-2348
Phone (401) 245-1500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical Physicians, Inc. Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Lifespan Corporation Current Accepting new patients
Coastal Medical Physicians, Inc. Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Coastal Medical, Inc. Past Accepting new patients

Locations

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

593 Eddy St
Providence, RI 02903

711 Main Rd
Tiverton, RI 02878
Phone (401) 624-1400

639 Metacom Ave
Warren, RI 02885
Phone (401) 245-1500

Interoperability endpoints

  • Direct secure messaging: jzibrida170752@brownhealth.medalliesdirect.net

Organizations & group practices 4

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 4

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1356379242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 METACOM AVE",
            "city": "WARREN",
            "state": "RI",
            "postal_code": "028852348",
            "telephone_number": "401-245-1500",
            "fax_number": "401-247-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 METACOM AVE",
            "city": "WARREN",
            "state": "RI",
            "postal_code": "028852348",
            "telephone_number": "401-245-1500",
            "fax_number": "401-247-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIBRIDA",
        "first_name": "JOSEPH",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD10646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7009047",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, RI

Sources for this page

Verify at the official NPI Registry.