Stuart V Demirs MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

STUART V DEMIRS MD LLC

Practice address

4099 Old Post Rd
Charlestown, RI 02813-2553

Phone

(401) 364-0770

Fax

(401) 364-7694

NPI assigned

Jun 5, 2019

Last updated

May 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stuart Demirs, MDNPI 1285685560

Title

Owner

Phone

(401) 364-0770

Specialties & licenses 2

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stuart Demirs, M.D.

  • Internal Medicine Physician
  • Charlestown, RI
  • NPI 1285685560
  Medicare reassignment Care Compare group NPD Authorized official
• Gina Cozzolino Mayo, MS, RNP

  • Family Nurse Practitioner
  • Charlestown, RI
  • NPI 1528185840
  Medicare reassignment Care Compare group NPD
• Thomas Kenneth Warcup, D.O.

  • Family Medicine Physician
  • Warwick, RI
  • NPI 1760433817
  NPD (past)

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1417515354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "028130901",
            "telephone_number": "401-364-0770",
            "fax_number": "401-364-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4099 OLD POST RD",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "028132553",
            "telephone_number": "401-364-0770",
            "fax_number": "401-364-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART V DEMIRS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "DEMIRS",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-364-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdemirs@kent.cernerdirect.carene.org",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4099 Old Post Rd",
            "city": "Charlestown",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028132553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdemirs@kent.cernerdirect.carene.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4099 Old Post Rd",
            "city": "Charlestown",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028132553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdemirs@kent.cernerdirect.carene.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4099 Old Post Rd",
            "city": "Charlestown",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028132553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Christine Monahan Ventresca, LMHC

• Internal Medicine Physician in Charlestown, RI
• Providers in Charlestown, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.