Organization Active NPI

Amir Alizadeh, MD, Inc

  • Internal Medicine Physician
  • North Providence, RI
National Provider Identifier
1366630576
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD09932 Issued in RI
Legal business name
AMIR ALIZADEH, MD, INC
Practice address
1637 Mineral Spring Ave
Suite 205
North Providence, RI 02904-4042
Phone
(401) 354-4400
NPI assigned
Oct 12, 2007
Last updated
Oct 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Dr. Amir Alizadeh, M.D.
Title
President
Phone
(401) 354-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD09932 RI Primary

Addresses

Primary practice location

1637 Mineral Spring Ave
Suite 205
North Providence, RI 02904-4042

Mailing address

1637 Mineral Spring Ave
Suite 205
North Providence, RI 02904-4042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091211000616 RI Part B Supplier - Clinic/Group Practice 1557401171 Receives reassigned benefits from 5 practitioners
Practice locations: Cranston, RI; North Providence, RI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
41D2017712Amir Alizadeh, MD Inc1637 Mineral Spring Avenue, North Providence, RI 02904Certificate of waiverDec 15, 2026

National Provider Directory

National Provider Directory

Locations

725 Reservoir Ave
Ste 306
Cranston, RI 02910
Phone (401) 780-5557

1637 Mineral Spring Ave
#10
North Providence, RI 02904
Phone (401) 354-4400

1637 Mineral Spring Ave
#10N
North Providence, RI 02904
Phone (401) 354-4400

1637 Mineral Spring Ave
Ste 107
North Providence, RI 02904
Phone (401) 354-4100

1637 Mineral Spring Ave
Ste 205
North Providence, RI 02904
Phone (401) 354-4400

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1366630576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 MINERAL SPRING AVE",
            "address_2": "SUITE 205",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 MINERAL SPRING AVE",
            "address_2": "SUITE 205",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044042",
            "telephone_number": "401-354-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIR ALIZADEH, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "ALIZADEH",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-354-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD09932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.