Individual provider Active NPI

Kara Rachel Greenwald, MD

  • Internal Medicine Physician
  • E Greenwich, RI
National Provider Identifier
1457525966
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD19682 Issued in RI
Practice address
1454 S County TRL
E Greenwich, RI 02818-1749
Phone
(401) 649-4020
Fax
(401) 649-4021
NPI assigned
Apr 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD19682 RI Primary
Internal Medicine Physician 207R00000X 260002 NY

Addresses

Primary practice location

1454 S County TRL
E Greenwich, RI 02818-1749

Mailing address

Dept 3010, PO Box 986524
Boston, MA 02298-6524
Phone (833) 924-5546

Other practice location 1

40 Worth St Rm 402
New York, NY 10013-3050
Phone (646) 962-7470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170808001714 NY Practitioner - Internal Medicine 5597089607 Reassigns benefits to 1 organization
I20240610003202 RI Practitioner - Internal Medicine 5597089607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Rochester School of Medicine and Dentistry, 2008
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
Brown MedicineGroup PAC ID 0446159776, 220 clinicians

Practice addresses (Care Compare)

1454 S County TRL
East Greenwich, RI 02818-1749
Phone (401) 649-4000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Aug 1, 2017 Accepting new patients
Weill Medical College of Cornell Internal Medicine Current Accepting new patients
Brown Medicine Internal Medicine Current Accepting new patients
Brown Medicine Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Weill Medical College of Cornell Internal Medicine CurrentSince Aug 1, 2017 Accepting new patients
Brown Medicine CurrentSince Aug 1, 2024 Accepting new patients

Locations

40 Worth St
New York, NY 10013
Phone (646) 619-6400

40 Worth St
Rm 402
New York, NY 10013
Phone (646) 962-3400

1454 S County Trl
East Greenwich, RI 02818
Phone (401) 606-1100

593 Eddy St
Providence, RI 02903

110 Elm St
Providence, RI 02903
Phone (401) 443-4992

375 Wampanoag Trl
Riverside, RI 02915
Phone (401) 649-4010

900 Douglas Pike
Smithfield, RI 02917
Phone (401) 618-5507

Organizations & group practices 7

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.

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": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1457525966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 3010, PO BOX 986524",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022986524",
            "telephone_number": "833-924-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 S COUNTY TRL",
            "city": "E GREENWICH",
            "state": "RI",
            "postal_code": "028181749",
            "telephone_number": "401-649-4020",
            "fax_number": "401-649-4021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Worth St Rm 402",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100133050",
            "country_code": "US",
            "telephone_number": "646-962-7470",
            "fax_number": "646-962-0130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENWALD",
        "first_name": "KARA",
        "middle_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD19682",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "260002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in E Greenwich, RI

Sources for this page

Verify at the official NPI Registry.