Active NPI
Iva Neupane, MD
- Geriatric Medicine (Internal Medicine) Physician
- Riverside, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- MD15479
- Practice address
- 375 Wampanoag TRL
Suite 102
Riverside, RI 02915-2232 - Phone
- (401) 649-4010
- Fax
- (401) 649-4011
- NPI assigned
- Aug 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 248694 | MA | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MD15479 | RI | Primary |
Addresses
Primary practice location
375 Wampanoag TRL
Suite 102
Riverside, RI 02915-2232
Mailing address
17 Virginia Ave
Suite 107
Providence, RI 02905-4406
Phone (401) 443-4992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
164 Summit Ave
Providence, RI 02906-2853
Phone (401) 793-4050
375 Wampanoag TRL
Riverside, RI 02915-2232
Phone (401) 649-4000
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4741
Hospital & facility affiliations
- Rhode Island Hospital
- The Miriam Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 248694 | MA | MD | Internal Medicine Physician |
| MD15479 | RI | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brown Medicine | Internal Medicine | Current | Accepting new patients |
| Brown Medicine | Current | Accepting new patients | |
| Coastal Medical Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
Locations
900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480
17 Virginia Ave
Ste 107
Providence, RI 02905
Phone (401) 784-4923
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
593 Eddy St
Providence, RI 02903
375 Wampanoag Trl
Riverside, RI 02915
Phone (401) 649-4010
375 Wampanoag Trl
Ste 102
Riverside, RI 02915
Phone (401) 649-4010
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Riverside, RI
- NPI 1689626764
-
- Internal Medicine Physician
- Providence, RI
- NPI 1780273540
-
- Gastroenterology Physician
- Providence, RI
- NPI 1730827767
-
- Internal Medicine Physician
- Riverside, RI
- NPI 1093678104
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471219200000",
"number": "1376821793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 VIRGINIA AVE",
"address_2": "SUITE 107",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054406",
"telephone_number": "401-443-4992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 WAMPANOAG TRL",
"address_2": "SUITE 102",
"city": "RIVERSIDE",
"state": "RI",
"postal_code": "029152232",
"telephone_number": "401-649-4010",
"fax_number": "401-649-4011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUPANE",
"first_name": "IVA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-02",
"last_updated": "2016-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "248694",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "RI",
"license": "MD15479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.