Individual provider Active NPI

Heinrich-Karl Von Moltke Greenblatt, MD

  • Rheumatology Physician
  • Fall River, MA
National Provider Identifier
1477014884
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
1019741 Issued in MA
Practice address
235 Hanover St
Fall River, MA 02720-5246
Phone
(508) 973-1730
Fax
(508) 973-0379
NPI assigned
Mar 28, 2019
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD18996 RI
Rheumatology Physician 207RR0500X 1019741 MA Primary
Rheumatology Physician 207RR0500X MD18996 RI

Addresses

Primary practice location

235 Hanover St
Fall River, MA 02720-5246

Mailing address

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

Other practice location 1

101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1122

Other practice location 2

825 Chalkstone Ave
Providence, RI 02908-4728
Phone (401) 456-2000

Other practice location 3

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 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
I20230522002079 RI Practitioner - Internal Medicine 8628302387 Reassigns benefits to 3 organizations
I20240625000174 MA Practitioner - Rheumatology 8628302387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prospect Chartercare Physicians LLCGroup PAC ID 0840416657, 71 clinicians
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians

Practice addresses (Care Compare)

1 Office Pkwy
East Providence, RI 02914-1643
Phone (401) 431-9219

300 Hanover St
Suite 1F
Fall River, MA 02720-5451
Phone (508) 973-8612

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1019741MAMDRheumatology Physician
MD18996RIMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC CurrentSince Jul 10, 2023 Accepting new patients
Affinity Physicians LLC. Internal Medicine CurrentSince Jul 10, 2023 Accepting new patients
Chartercare Physicians, LLC Internal Medicine CurrentSince Jun 23, 2025 Accepting new patients
Southcoast Physicians Group, Inc. Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Prospect Chartercare Physicians, LLC Internal Medicine CurrentSince Jul 28, 2024 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jul 1, 2024 Accepting new patients

Locations

200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000

235 Hanover St
Fall River, MA 02720
Phone (508) 646-9525

300 Hanover St
Ste 1F
Fall River, MA 02720
Phone (508) 973-8611

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

1681 Cranston St
Cranston, RI 02920
Phone (401) 944-6889

1 Office Pkwy
East Providence, RI 02914
Phone (401) 270-7110

101 Dudley St
Providence, RI 02905
Phone (401) 453-7950

50 Maude St
Fl 4
Providence, RI 02908
Phone (401) 456-2145

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

501 Wampanoag Trl
Unit 2
Riverside, RI 02915
Phone (401) 435-3327

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

Interoperability endpoints

  • Direct secure messaging: heinrich-karl.greenblatt.1@9000.direct.athenahealth.com
  • Direct secure messaging: hgreenblatt79896@direct.southcoast.org

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 1

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": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1477014884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862759",
            "telephone_number": "401-737-7010",
            "fax_number": "401-736-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 HANOVER ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205246",
            "telephone_number": "508-973-1730",
            "fax_number": "508-973-0379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Dudley St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029052401",
            "country_code": "US",
            "telephone_number": "401-274-1122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 Chalkstone Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029084728",
            "country_code": "US",
            "telephone_number": "401-456-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Toll Gate Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028862759",
            "country_code": "US",
            "telephone_number": "401-737-7010",
            "fax_number": "401-736-4546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENBLATT",
        "first_name": "HEINRICH-KARL",
        "middle_name": "VON MOLTKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD18996",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MA",
            "license": "1019741",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "RI",
            "license": "MD18996",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.