James Russell Carlsten, MD
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Wakefield, RI
NPI 1376590794 · NPPES record last updated Oct 29, 2019
Key facts
- NPI
- 1376590794
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 12097 (RI)
- Practice address
- 70 Kenyon Ave
Wakefield, RI 02879-4239 - Phone
- (401) 782-3803
- NPI assigned
- May 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- Warren Alpert Medical School of Brown University, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Pathologists, LLC
Practice addresses (Care Compare)
320 Pomfret St
Putnam, CT 06260-1836
Phone 86092865412452
363 Highland Ave
Fall River, MA 02720-3703
Phone (508) 679-7168
825 Chalkstone Ave
Providence, RI 02908-4728
Phone (401) 456-2109
Hospital & facility affiliations
- South County Hospital Inc
- Southcoast Hospitals Group
- Our Lady of Fatima Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in RI, MA, CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061214000259 | RI | Practitioner - Pathology | 7517966898 | Reassigns benefits to 1 organization |
| I20100813000526 | MA | Practitioner - Pathology | 7517966898 | Reassigns benefits to 1 organization |
| I20190729002544 | CT | Practitioner - Pathology | 7517966898 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12097 | RI | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Pathologists, LLC | Anatomic Pathology & Clinical Pathology | Current |
Accepting new patients |
| University Gastroenterology, LLC | Past |
Accepting new patients | |
| Memorial Hospital | Past | Accepting new patients |
Locations
320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331
1030 President Ave
Ste 213
Fall River, MA 02720
Phone (508) 572-2802
363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
67 Slades Ferry Ave
Ste 6720
Somerset, MA 02726
Phone (401) 921-0252
825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000
300 Centerville Rd
Ste 215
Warwick, RI 02886
Phone (401) 921-0252
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 12097 | RI | Yes |
Addresses
Primary practice location
70 Kenyon Ave
Wakefield, RI 02879-4239
Mailing address
180 Shady Hill Dr
East Greenwich, RI 02818-1404
Phone (401) 885-0767
Other practice location 1
360 Kingstown Rd Ste 202
Narragansett, RI 02882-3239
Phone (401) 943-1300
Other providers in Wakefield, RI
- Catherine Canlas
- Capalbo Dental Group of Wakefield, LLC
- Umberto Capuano
- Steven R Cardozo
- Matthew James Carley
- Joseph Carr
- La Shun La Rue Carroll
- Elizabeth J Carter
- Kayla Marie Carter
- Paul D Cashion
All providers in Wakefield, RI · Anatomic Pathology & Clinical Pathology Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.