Individual provider Active NPI

Michael Pomerantz, MD

  • Pulmonary Disease Physician
  • East Providence, RI
National Provider Identifier
1437146131
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD07848 Issued in RI
Practice address
900 Warren Ave
Suite 401
East Providence, RI 02914-1430
Phone
(800) 508-4908
Fax
(401) 228-6236
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MD07848 RI Primary

Addresses

Primary practice location

900 Warren Ave
Suite 401
East Providence, RI 02914-1430

Mailing address

10 Davol SQ
Suite 400
Providence, RI 02903-4754
Phone (401) 421-4000

Other identifiers 2

IdentifierTypeStateIssuer
7057713MedicaidRI
709004158OtherRIGROUP MEDICARE

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
I20050711000704 RI Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Sleep Medicine 6002842168

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical Physicians, Inc. CurrentSince Apr 25, 2021 Accepting new patients
Coastal Medical Physicians, Inc. Pulmonary Disease CurrentSince Apr 25, 2021 Accepting new patients
Pulmonology Associates Inc Pulmonary Disease Past Accepting new patients
Coastal Medical Inc Past Accepting new patients
Main Line Healthcare Past Accepting new patients

Locations

450 Veterans Memorial Pkwy
Bldg 6
East Providence, RI 02914
Phone (401) 435-5533

900 Warren Ave
Ste 302
East Providence, RI 02914
Phone (401) 444-8344

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJJDBA

Organizations & group practices 5

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1437146131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DAVOL SQ",
            "address_2": "SUITE 400",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034754",
            "telephone_number": "401-421-4000",
            "fax_number": "401-272-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WARREN AVE",
            "address_2": "SUITE 401",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141430",
            "telephone_number": "800-508-4908",
            "fax_number": "401-228-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMERANTZ",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "RI",
            "license": "MD07848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7057713",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "709004158",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

Verify at the official NPI Registry.