NPIMap

Individual provider Active NPI

Michael Richard Martin, D.O.

  • Internal Medicine Physician
  • Warwick, RI
National Provider Identifier
1376607168
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00512 Issued in RI
Practice address
215 Toll Gate Rd
Suite 306
Warwick, RI 02886-4458
Phone
(401) 738-6565
Fax
(401) 738-6599
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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 00512 RI Primary

Addresses

Primary practice location

215 Toll Gate Rd
Suite 306
Warwick, RI 02886-4458

Mailing address

4 Dogwood Dr
Coventry, RI 02816-6650
Phone (401) 821-7870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101216000339 RI Practitioner - Internal Medicine 6709074842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kristen R Dimarco DO LTDGroup PAC ID 2668669789, 2 clinicians

Practice addresses (Care Compare)

215 Toll Gate Rd
Suite 306
Warwick, RI 02886-4462
Phone (401) 738-6565

Hospital & facility affiliations

  • Vna of Care New England Home health agency, Warwick, RI, CCN 417006
  • Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007
  • Women & Infants Hospital of Rhode Island Hospital, Providence, RI, CCN 410010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00512RIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Kristen R. Dimarco, DO LTD CurrentSince Jul 1, 2001 Accepting new patients
Matthew K. Rocheleau, DO LLC Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients

Locations

215 Toll Gate Rd
Ste 306
Warwick, RI 02886
Phone (401) 373-0820

Organizations & group practices 2

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 9

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1376607168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 DOGWOOD DR",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028166650",
            "telephone_number": "401-821-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 TOLL GATE RD",
            "address_2": "SUITE 306",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864458",
            "telephone_number": "401-738-6565",
            "fax_number": "401-738-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MICHAEL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "00512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.