Individual provider Active NPI

Theodore R Delmonico, M.D.

  • Trauma Surgery Physician
  • Wakefield, RI
National Provider Identifier
1376806943
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
MD16013 Issued in RI
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

Updated by the provider on May 17, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, RI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180926001281 MA Practitioner - General Surgery 6204109630 Reassigns benefits to 1 organization
I20221006000105 RI Practitioner - General Surgery 6204109630 Reassigns benefits to 3 organizations

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 IncGroup PAC ID 4688661127, shared by 14 NPIs, 136 clinicians

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

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD16013RIMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Silver Spring Health Care Management, Inc. CurrentSince May 1, 2023 Accepting new patients
Silver Spring Health Care Management, Inc. Surgery CurrentSince Nov 1, 2022 Accepting new patients
Southcoast Physicians Group, Inc. Surgery CurrentSince Oct 1, 2018 Accepting new patients
Silver Spring Health Care Management, Inc Surgery CurrentSince Nov 1, 2023 Accepting new patients
Silver Spring Health Care Management, Inc. CurrentSince Nov 1, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.