Active NPI
D Regan LLC
- Internal Medicine Physician
- Warwick, RI
National Provider Identifier
1396433348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- D REGAN LLC
- Practice address
- 300 Toll Gate Rd Ste LL5
Warwick, RI 02886-4448 - Phone
- (401) 431-9024
- Fax
- (401) 431-9027
- NPI assigned
- Apr 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jim Cross
- Title
- Office Admin
- Phone
- (401) 320-8289
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | |||
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
300 Toll Gate Rd Ste LL5
Warwick, RI 02886-4448
Mailing address
300 Toll Gate Rd Ste LL5
Warwick, RI 02886-4448
Phone (401) 431-9024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231109002133 | RI | Part B Supplier - Clinic/Group Practice | 5092162206 |
Receives reassigned benefits from 1 practitioner Practice locations: Warwick, RI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Johnston, RI
- NPI 1972619864
Addiction Medicine, RI
-
- Emergency Medicine Physician
- East Greenwich, RI
- NPI 1942370234
-
- Nurse Practitioner
- Cranston, RI
- NPI 1336299890
-
- Internal Medicine Physician
- Cranston, RI
- NPI 1477540185
Internal Medicine
-
- Family Nurse Practitioner
- Houston, TX
- NPI 1245683747
-
- Family Nurse Practitioner
- Norwich, CT
- NPI 1124557756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682553600000",
"number": "1396433348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 TOLL GATE RD STE LL5",
"city": "WARWICK",
"state": "RI",
"postal_code": "028864448",
"telephone_number": "401-431-9024",
"fax_number": "401-431-9027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 TOLL GATE RD STE LL5",
"city": "WARWICK",
"state": "RI",
"postal_code": "028864448",
"telephone_number": "401-431-9024",
"fax_number": "401-431-9027"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D REGAN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-27",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A",
"authorized_official_last_name": "CROSS",
"authorized_official_first_name": "JIM",
"authorized_official_title_or_position": "OFFICE ADMIN",
"authorized_official_telephone_number": "401-320-8289"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.