NPIMap

Individual provider Active NPI

Nicole P Somvanshi, M.D.

  • Family Medicine Physician
  • East Greenwich, RI
National Provider Identifier
1417926890
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD11818 Issued in RI
Practice address
1598 S County TRL Ste 115
East Greenwich, RI 02818-1762
Phone
(401) 884-0333
Fax
(401) 884-0096
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD11818 RI Primary

Addresses

Primary practice location

1598 S County TRL Ste 115
East Greenwich, RI 02818-1762

Mailing address

10 Davol SQ
Ste 400
Providence, RI 02903-4752
Phone (401) 539-0283

Other identifiers 1

IdentifierTypeStateIssuer
1417926890MedicaidRI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nsomvanshi220831@direct.lifespan.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070103000140 RI Practitioner - Family Practice 8325096332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Massachusetts Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Medical Physicians IncGroup PAC ID 0345658316, 222 clinicians

Practice addresses (Care Compare)

1598 S County TRL
Suite 201
East Greenwich, RI 02818-1762
Phone (401) 884-0333

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical Physicians, Inc. Family Medicine CurrentSince Apr 25, 2021 Accepting new patients
Lifespan Corporation Current Accepting new patients
Coastal Medical Physicians, Inc. CurrentSince Apr 25, 2021 Accepting new patients
Franklin Square Hospital Center, Inc. Past Accepting new patients
Helixcare Medical Group, LLC Past Accepting new patients
South County Family Medicine Inc. Family Medicine Past Accepting new patients

Locations

1351 S County Trl
Ste 115
East Greenwich, RI 02818
Phone (401) 884-0333

1598 S County Trl
Ste 201
East Greenwich, RI 02818
Phone (401) 884-0333

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

Interoperability endpoints

  • Direct secure messaging: nsomvanshi220831@brownhealth.medalliesdirect.net

Organizations & group practices 6

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 10

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1417926890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DAVOL SQ",
            "address_2": "STE 400",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034752",
            "telephone_number": "401-539-0283",
            "fax_number": "401-539-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1598 S COUNTY TRL STE 115",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181762",
            "telephone_number": "401-884-0333",
            "fax_number": "401-884-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMVANSHI",
        "first_name": "NICOLE",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD11818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417926890",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nsomvanshi220831@direct.lifespan.org",
            "affiliation": "N",
            "address_1": "1598 S County Trl Ste 115",
            "city": "East Greenwich",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028181762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Greenwich, RI

Sources for this page

Verify at the official NPI Registry.