Individual provider Active NPI

Salvatore R Abbruzzese Jr., D.O. PC

  • Internal Medicine Physician
  • Wakefield, RI
National Provider Identifier
1396774089
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO 00781 Issued in RI
Practice address
10 High St
Wakefield, RI 02879-3176
Phone
(401) 757-6973
Fax
(401) 685-0420
NPI assigned
Jul 3, 2006
Last updated
Apr 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DO 00781 RI Primary

Addresses

Primary practice location

10 High St
Wakefield, RI 02879-3176

Mailing address

10 High St
Wakefield, RI 02879-3176
Phone (401) 757-6973

Other practice location 1

24 Salt Pond Rd Ste H5
Wakefield, RI 02879-4337
Phone (401) 757-6973

Other practice location 2

100 Kenyon Ave
Wakefield, RI 02879-4216
Phone (401) 788-1590

Other identifiers 4

IdentifierTypeStateIssuer
00A0252583OtherHIHMSA EAST
00B0252581OtherHIHMSA WEST
523979MedicaidHI
DO00781OtherRIMEDICAL LICENSE

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
I20141203000926 RI Practitioner - Internal Medicine 2466434311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of New England, College of Osteo Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Salvatore R Abbruzzese DO PCGroup PAC ID 6305216649, 2 clinicians

Practice addresses (Care Compare)

10 High St
Unit a
Wakefield, RI 02879-3144

10 High St
Unit a
Wakefield, RI 02879-3176
Phone (401) 757-6973

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO 00781RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salvatore R Abbruzzese DO PC Internal Medicine CurrentSince Dec 12, 2022 Accepting new patients
Hawaii Hospital Physicians Inc Internal Medicine PastSince Aug 1, 2004 Accepting new patients
Salvatore Abbruzzese LLC Internal Medicine PastSince Jul 9, 2011 Accepting new patients

Locations

24 Salt Pond Rd
Ste H5
Wakefield, RI 02879
Phone (401) 757-6973

Interoperability endpoints

  • Direct secure messaging: salvatore.abbruzzese.1@16978.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1396774089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HIGH ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793176",
            "telephone_number": "401-757-6973",
            "fax_number": "401-685-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HIGH ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793176",
            "telephone_number": "401-757-6973",
            "fax_number": "401-685-0420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Salt Pond Rd Ste H5",
            "address_purpose": "LOCATION",
            "city": "Wakefield",
            "state": "RI",
            "postal_code": "028794337",
            "country_code": "US",
            "telephone_number": "401-757-6973",
            "fax_number": "401-685-0420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Kenyon Ave",
            "address_purpose": "LOCATION",
            "city": "Wakefield",
            "state": "RI",
            "postal_code": "028794216",
            "country_code": "US",
            "telephone_number": "401-788-1590",
            "fax_number": "401-788-1593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABBRUZZESE",
        "first_name": "SALVATORE",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "D.O. PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "DO 00781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA EAST",
            "identifier": "00A0252583",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA WEST",
            "identifier": "00B0252581",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "523979",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "DO00781",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

Verify at the official NPI Registry.