Active NPI
Michael Simonetti, PA-C
- Physician Assistant
- Warwick, RI
National Provider Identifier
1467429910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00225
- Practice address
- 125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785 - Phone
- (401) 432-2520
- Fax
- (401) 453-8220
- NPI assigned
- Mar 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1130 | MA | |
| Physician Assistant | 363A00000X | PA00225 | RI | Primary |
Addresses
Primary practice location
125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785
Mailing address
125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785
Phone (401) 432-2520
Other practice location 1
400 Putnam Pike
Smithfield, RI 02917-2408
Phone (401) 757-6160
Other practice location 2
211 Park St
Attleboro, MA 02703-3137
Phone (508) 222-5200
Other practice location 3
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-3850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Kettle Point Ave
East Providence, RI 02914-5375
Phone (401) 626-3900
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.17 of 100
- Quality
- 82.44
- Improvement activities
- 40
- Cost
- 86.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1130 | MA | MD | Physician Assistant |
| PA00225 | RI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Corporation | Current | Accepting new patients | |
| Rhode Island Medical Imaging Inc | Past | Accepting new patients | |
| Newport County Medical Treatment Office | Past | Accepting new patients | |
| Nes Rhode Island, Inc. | Past | Accepting new patients |
Interoperability endpoints
- msimonetti14914@brownhealth.medalliesdirect.net
- michael.simonetti.1@31278.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Warwick, RI
- NPI 1205874930
-
- Children's Rehabilitation Hospital
- Providence, RI
- NPI 1790221232
-
- Emergency Medicine Physician
- North Providence, RI
- NPI 1730160151
-
- Emergency Medicine Physician
- Middletown, RI
- NPI 1326190273
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Providence, RI
- NPI 1013332014
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1467429910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 METRO CENTER BLVD STE 2000",
"city": "WARWICK",
"state": "RI",
"postal_code": "028861785",
"telephone_number": "401-432-2520",
"fax_number": "401-453-8220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 METRO CENTER BLVD STE 2000",
"city": "WARWICK",
"state": "RI",
"postal_code": "028861785",
"telephone_number": "401-432-2520",
"fax_number": "401-453-8220"
}
],
"practiceLocations": [
{
"address_1": "400 Putnam Pike",
"address_purpose": "LOCATION",
"city": "Smithfield",
"state": "RI",
"postal_code": "029172408",
"country_code": "US",
"telephone_number": "401-757-6160",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "211 Park St",
"address_purpose": "LOCATION",
"city": "Attleboro",
"state": "MA",
"postal_code": "027033137",
"country_code": "US",
"telephone_number": "508-222-5200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Lake Ave N",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016550002",
"country_code": "US",
"telephone_number": "508-334-3850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMONETTI",
"first_name": "MICHAEL",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA1130",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "RI",
"license": "PA00225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.