Individual provider Active NPI

James Russell Carlsten, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Wakefield, RI
National Provider Identifier
1376590794
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
12097 Issued in RI
Practice address
70 Kenyon Ave
Wakefield, RI 02879-4239
Phone
(401) 782-3803
NPI assigned
May 30, 2006
Last updated
Oct 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 12097 RI Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA, CT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
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, LLCGroup PAC ID 4981780061, 20 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12097RIMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Pathologists, LLC Anatomic Pathology & Clinical Pathology CurrentSince Mar 1, 2010 Accepting new patients
Memorial Hospital Past Accepting new patients
University Gastroenterology, LLC PastSince Jan 19, 2026 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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1376590794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 SHADY HILL DR",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181404",
            "telephone_number": "401-885-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 KENYON AVE",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794239",
            "telephone_number": "401-782-3803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Kingstown Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Narragansett",
            "state": "RI",
            "postal_code": "028823239",
            "country_code": "US",
            "telephone_number": "401-943-1300",
            "fax_number": "401-228-7109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSTEN",
        "first_name": "JAMES",
        "middle_name": "RUSSELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "RI",
            "license": "12097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

Verify at the official NPI Registry.