Active NPI
Theodore R Delmonico, M.D.
- Trauma Surgery Physician
- Wakefield, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- MD16013
- Practice address
- 70 Kenyon Ave Ste 280
Wakefield, RI 02879-4253 - Phone
- (401) 284-1212
- Fax
- (401) 788-8730
- NPI assigned
- Jun 19, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD16013 | RI | |
| Surgical Critical Care Physician | 2086S0102X | MD16013 | RI | |
| Trauma Surgery Physician | 2086S0127X | 276046 | MA | |
| Trauma Surgery Physician | 2086S0127X | MD16013 | RI | Primary |
Addresses
Primary practice location
70 Kenyon Ave Ste 280
Wakefield, RI 02879-4253
Mailing address
101 Page St
New Bedford, MA 02740-3464
Other practice location 1
208 Mill Rd
Fairhaven, MA 02719-5208
Phone (508) 973-2204
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Silver Spring Health Care Management Inc
Practice addresses (Care Compare)
100 Kenyon Ave
Wakefield, RI 02879-4216
Phone (401) 782-8000
70 Kenyon Ave
Wakefield, RI 02879-4253
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD16013 | RI | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Silver Spring Health Care Management, Inc. | Current | Accepting new patients | |
| Silver Spring Health Care Management, Inc. | Surgery | Current | Accepting new patients |
| Southcoast Physicians Group, Inc. | Surgery | Current | Accepting new patients |
| Silver Spring Health Care Management, Inc | Surgery | Current | Accepting new patients |
| Silver Spring Health Care Management, Inc. | Current | Accepting new patients | |
| Silver Spring Health Care Management, Inc | Past | Accepting new patients |
Locations
208 Mill Rd
Fairhaven, MA 02719
Phone (508) 758-3781
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
3461 S County Trl
Ste 201
East Greenwich, RI 02818
Phone (401) 471-6850
70 Kenyon Ave
Ste L10
Wakefield, RI 02879
Phone (401) 788-1638
70 Kenyon Ave
Ste 280
Wakefield, RI 02879
Phone (401) 284-1212
100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000
70 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000
120 Centerville Rd
Warwick, RI 02886
Phone (401) 562-1017
120 Centerville Rd
Ste 3
Warwick, RI 02886
Phone (401) 284-1212
268 Post Rd
Ste 204
Westerly, RI 02891
Phone (401) 788-2110
Interoperability endpoints
- tdelmonico43755@direct.southcoast.org
Organizations & group practices 7
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.
-
- Surgery Physician
- Wakefield, RI
- NPI 1306034244
-
dba SCMG - Pulmonology
- Pulmonary Disease Physician
- Wakefield, RI
- NPI 1295105294
-
dba SCMG Surgery
- Surgery Physician
- Wakefield, RI
- NPI 1619157468
-
dba SCMG Nursery
- Pediatrics Physician
- Wakefield, RI
- NPI 1992224497
-
- Orthopaedic Surgery Physician
- North Dartmouth, MA
- NPI 1902201536
-
dba SCMG Behavioral Health & Community Health Team
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wakefield, RI
- NPI 1104871003
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Narragansett, RI
- NPI 1831172907
-
- General Acute Care Hospital
- Wakefield, RI
- NPI 1952366106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1376806943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 PAGE ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027403464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 KENYON AVE STE 280",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028794253",
"telephone_number": "401-284-1212",
"fax_number": "401-788-8730"
}
],
"practiceLocations": [
{
"address_1": "208 Mill Rd",
"address_purpose": "LOCATION",
"city": "Fairhaven",
"state": "MA",
"postal_code": "027195208",
"country_code": "US",
"telephone_number": "508-973-2204",
"fax_number": "508-973-2640",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELMONICO",
"first_name": "THEODORE",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-19",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "RI",
"license": "MD16013",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "RI",
"license": "MD16013",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "MA",
"license": "276046",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "RI",
"license": "MD16013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wakefield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.