Individual provider Active NPI

Steven Raymond Fera, MD

  • Cardiovascular Disease Physician
  • Wakefield, RI
National Provider Identifier
1396771937
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD07084 Issued in RI
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

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7001692MedicaidRI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090127000726 RI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6103915400 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD07084RIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Spring Health Care Management, Inc Cardiovascular Disease CurrentSince May 1, 2002 Accepting new patients
Cardiovascular Institute of New England PC Cardiovascular Disease PastSince Jan 1, 2009 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.

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

Verify at the official NPI Registry.