Individual provider Active NPI

M Aurora Balerdi, MD

  • Internal Medicine Physician
  • Pawtucket, RI
National Provider Identifier
1447582135
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD09305 Issued in RI
Practice address
407 East Ave
Suite 120
Pawtucket, RI 02860-5299
Phone
(401) 725-4700
Fax
(401) 725-4740
NPI assigned
Feb 4, 2010
Last updated
Mar 3, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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 MD09305 RI Primary

Addresses

Primary practice location

407 East Ave
Suite 120
Pawtucket, RI 02860-5299

Mailing address

407 East Ave
Suite 120
Pawtucket, RI 02860-5299
Phone (401) 725-4700

Other names 1

  • M Aurora Balerdi Professional name

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
I20110414000860 RI Practitioner - Internal Medicine 6709060726 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
College of Medicine and Surgery, 1981
Medicare assignment
May accept Medicare assignment
Group practices
Urgent Care Arts LLCGroup PAC ID 5799140497, 3 clinicians

Practice addresses (Care Compare)

3769 Old Post Rd
Suite 1
Charlestown, RI 02813-2571
Phone (401) 642-9023

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD14474RIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garden City Treatment Center, Inc. CurrentSince Feb 24, 2021 Accepting new patients
Center of New England Urgent Care Inc CurrentSince Oct 14, 2014 Accepting new patients
North Providence Urgent Care CurrentSince Oct 14, 2014 Accepting new patients
Urgent Care Arts LLC CurrentSince Mar 15, 2023 Accepting new patients
Center of New England Primary Care Inc Internal Medicine CurrentSince Oct 1, 2014 Accepting new patients

Locations

3769 Old Post Rd
Charlestown, RI 02813
Phone (401) 612-9023

3769 Old Post Rd
Ste 1
Charlestown, RI 02813
Phone (401) 642-9023

775 Centre of New England Blvd
Coventry, RI 02816
Phone (401) 615-7860

1150 Reservoir Ave
Ste 100
Cranston, RI 02920
Phone (401) 946-2400

1830 Mineral Spring Ave
North Providence, RI 02904
Phone (401) 351-1190

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 2

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": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1447582135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 EAST AVE",
            "address_2": "SUITE 120",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605299",
            "telephone_number": "401-725-4700",
            "fax_number": "401-725-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 EAST AVE",
            "address_2": "SUITE 120",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605299",
            "telephone_number": "401-725-4700",
            "fax_number": "401-725-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALERDI",
        "first_name": "M AURORA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD09305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M AURORA",
            "last_name": "BALERDI",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.