Individual provider Active NPI

Kelli Naylor-Dobrzynski, M.D.

  • Emergency Medicine Physician
  • Warwick, RI
National Provider Identifier
1396713947
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD10609 Issued in RI
Practice address
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone
(508) 675-6591
Fax
(508) 675-7905
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD10609 RI Primary

Addresses

Primary practice location

455 Toll Gate Rd
Warwick, RI 02886-2759

Mailing address

275 Martine St
Suite # 301
Fall River, MA 02723-1516
Phone (508) 675-6591

Other identifiers 1

IdentifierTypeStateIssuer
7008978MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CT2 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
I20210818000415 RI Practitioner - Internal Medicine 1355746116 Reassigns benefits to 3 organizations
I20211206002259 CT Practitioner - Internal Medicine 1355746116 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

222 Jefferson Blvd
Suite 200
Warwick, RI 02888-3855
Phone (310) 445-5999

6 Landmark SQ
FL 4
Stamford, CT 06901-2704
Phone (310) 445-5999

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue275
Removal of skin lesions49
Removal or shaving of skin growth28

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Skilled Biologics, Inc. CurrentSince Aug 18, 2024 Accepting new patients
Skilled Facility Health Care Solutions Inc CurrentSince Jul 19, 2021 Accepting new patients
Rhode Island Emergency Physicians Emergency Medicine Past Accepting new patients
State of Rhode Island Past Accepting new patients

Locations

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

10 Thurber Rd
Putnam, CT 06260
Phone (860) 519-5227

6 Landmark Sq
Fl 4
Stamford, CT 06901
Phone (203) 439-3946

222 Jefferson Blvd
Ste 200
Warwick, RI 02888
Phone (800) 221-5140

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1396713947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 MARTINE ST",
            "address_2": "SUITE # 301",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027231516",
            "telephone_number": "508-675-6591",
            "fax_number": "508-675-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862759",
            "telephone_number": "508-675-6591",
            "fax_number": "508-675-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYLOR-DOBRZYNSKI",
        "first_name": "KELLI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "RI",
            "license": "MD10609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7008978",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.