NPIMap

Organization Active NPI

Nephrology Associates Inc

  • Nephrology Physician
  • East Providence, RI
National Provider Identifier
1366426801
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY ASSOCIATES INC
Practice address
318 Waterman Ave
East Providence, RI 02914-3525
Phone
(401) 438-5950
Fax
(401) 435-2561
NPI assigned
Nov 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Thursby, MDNPI 1669455192
Title
President
Phone
(401) 438-5950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

318 Waterman Ave
East Providence, RI 02914-3525

Mailing address

318 Waterman Ave
East Providence, RI 02914
Phone (401) 438-5950

Other identifiers 9

IdentifierTypeStateIssuer
110069682BMedicaidMA
0025539MedicaidRI
110069682AMedicaidRI
M13329OtherMABLUE CROSS
M15273OtherMABLUE CROSS
1366426801OtherNPI
9736352MedicaidMA
255OtherRIBLUE CROSS
9765972MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060724000322 RI Part B Supplier - Clinic/Group Practice 8426061185 Receives reassigned benefits from 9 practitioners
Practice locations: Johnston, RI; Woonsocket, RI; Warwick, RI; Tiverton, RI; Newport, RI; East Providence, RI; Cranston, RI; Bristol, RI
O20060830000298 MA Part B Supplier - Clinic/Group Practice 8426061185 Receives reassigned benefits from 9 practitioners
Practice locations: Fall River, MA; Attleboro, MA

National Provider Directory

National Provider Directory

Locations

850 W Rio Salado Pkwy
Ste 201
Tempe, AZ 85281

217 S Main St
Attleboro, MA 02703
Phone (508) 236-6041

277 Pleasant St
Bldg 305
Fall River, MA 02721

277 Pleasant St
Rm 305
Fall River, MA 02721

277 Pleasant St
Fall River, MA 02721
Phone (508) 617-9740

277 Pleasant St
#305
Fall River, MA 02721
Phone (508) 672-1010

1500 Pontiac Ave
Rm 104
Cranston, RI 02920

49 Freeway Dr
Cranston, RI 02920
Phone (401) 431-1300

314 Taunton Ave
East Providence, RI 02914

1526 Atwood Ave
Johnston, RI 02919
Phone (401) 273-9400

19 Friendship St
Unit 360
Newport, RI 02840
Phone (401) 848-6510

9 Plenty St
Providence, RI 02907
Phone (401) 273-4898

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1366426801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 WATERMAN AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "02914",
            "telephone_number": "401-438-5950",
            "fax_number": "401-435-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 WATERMAN AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029143525",
            "telephone_number": "401-438-5950",
            "fax_number": "401-435-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "THURSBY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-438-5950",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110069682B",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0025539",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110069682A",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "M13329",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "M15273",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366426801",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9736352",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "255",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9765972",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.