Active NPI
Paul David Cardi, MD
- Diagnostic Radiology Physician
- Westerly, RI
National Provider Identifier
1396726162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD07536
- Practice address
- 116 Granite St
Westerly, RI 02891-2460 - Phone
- (401) 596-5695
- Fax
- (401) 596-1070
- NPI assigned
- Nov 9, 2005
- Last updated
- Sep 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD07536 | RI | Primary |
Addresses
Primary practice location
116 Granite St
Westerly, RI 02891-2460
Mailing address
116 Granite Street
Westerly, RI 02891
Phone (401) 596-5695
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7000951 | Medicaid | RI | |
| MD07536 | Other | RI | RI LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD07536 | RI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Imaging of Port Charlotte | Diagnostic Radiology | Past | Accepting new patients |
| Coastal Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Port Charlotte, FL
- NPI 1225361850
-
- Diagnostic Radiology Physician
- Groton, CT
- NPI 1366475766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190764800000",
"number": "1396726162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 GRANITE STREET",
"city": "WESTERLY",
"state": "RI",
"postal_code": "02891",
"telephone_number": "401-596-5695",
"fax_number": "401-596-0170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 GRANITE ST",
"city": "WESTERLY",
"state": "RI",
"postal_code": "028912460",
"telephone_number": "401-596-5695",
"fax_number": "401-596-1070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDI",
"first_name": "PAUL",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2007-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "RI",
"license": "MD07536",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7000951",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI LICENSE",
"identifier": "MD07536",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westerly, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.