Active NPI
Steven Raymond Fera, MD
- Cardiovascular Disease Physician
- Wakefield, RI
National Provider Identifier
1396771937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD07084
- Practice address
- 70 Kenyon Ave
Suite 321
Wakefield, RI 02879-4239 - Phone
- (401) 789-5770
- Fax
- (401) 782-8530
- NPI assigned
- Jun 24, 2006
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD07084 | RI | Primary |
Addresses
Primary practice location
70 Kenyon Ave
Suite 321
Wakefield, RI 02879-4239
Mailing address
70 Kenyon Ave
Suite 321
Wakefield, RI 02879-4239
Phone (401) 789-5770
Other practice location 1
3461 S County Trl
East Greenwich, RI 02818-1465
Phone (401) 471-6440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7001692 | Medicaid | RI |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD07084 | RI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Spring Health Care Management, Inc | Cardiovascular Disease | Current | Accepting new patients |
| Cardiovascular Institute of New England PC | Cardiovascular Disease | Past | Accepting new patients |
| South County Cardiology Associates, Inc. | Cardiovascular Disease | Past | Accepting new patients |
| Silver Spring Health Care Management, Inc | Past | Accepting new patients |
Locations
100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000
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.
-
dba SCMG EKG Readers
- Cardiovascular Disease Physician
- Wakefield, RI
- NPI 1528152691
-
- Cardiovascular Disease Physician
- Lincoln, RI
- NPI 1699923656
-
dba SCMG Behavioral Health & Community Health Team
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wakefield, RI
- NPI 1104871003
-
- Cardiovascular Disease Physician
- North Kingstown, RI
- NPI 1891895090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1396771937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 KENYON AVE",
"address_2": "SUITE 321",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028794239",
"telephone_number": "401-789-5770",
"fax_number": "401-782-8530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 KENYON AVE",
"address_2": "SUITE 321",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028794239",
"telephone_number": "401-789-5770",
"fax_number": "401-782-8530"
}
],
"practiceLocations": [
{
"address_1": "3461 S County Trl",
"address_purpose": "LOCATION",
"city": "East Greenwich",
"state": "RI",
"postal_code": "028181465",
"country_code": "US",
"telephone_number": "401-471-6440",
"fax_number": "401-889-5082",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERA",
"first_name": "STEVEN",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "RI",
"license": "MD07084",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7001692",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wakefield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.