NPIMap

Organization Active NPI

Silver Spring Health Care Management, Inc.

Doing business as SCMG Urology

  • Urology Physician
  • Wakefield, RI
National Provider Identifier
1477052256
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
SILVER SPRING HEALTH CARE MANAGEMENT, INC.
Doing business as
SCMG Urology
South County Medical Group, Urology
Practice address
70 Kenyon Ave Unit 210
Wakefield, RI 02879-4241
Phone
(401) 788-8780
Fax
(401) 788-8787
NPI assigned
Feb 7, 2018
Last updated
Aug 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
David Francis Fogerty Jr.
Title
Director, Decision Support
Phone
(401) 788-1978

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X Primary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

70 Kenyon Ave Unit 210
Wakefield, RI 02879-4241

Mailing address

PO Box 229
Wakefield, RI 02880-0229
Phone (401) 788-8757

Other practice location 1

38 Powel Ave
Newport, RI 02840-2655
Phone (401) 788-8780

Other practice location 2

3461 S County Trl Ste 201
East Greenwich, RI 02818-1463
Phone (401) 788-8780

Other practice location 3

120 Centerville Rd Ste 3
Warwick, RI 02886-4336
Phone (401) 788-8780

Other names 2

  • SCMG Urology Doing business as
  • South County Medical Group, Urology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180326000869 RI Part B Supplier - Clinic/Group Practice 4688661127 Receives reassigned benefits from 23 practitioners
Practice locations: East Greenwich, RI; Warwick, RI; Wakefield, RI; Newport, RI

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
41D2146350SCMG Urology Wakefield70 Kenyon Ave, Wakefield, RI 02879Certificate of waiverMar 27, 2028

National Provider Directory

National Provider Directory

Locations

70 Kenyon Ave
Unit 324
Wakefield, RI 02879
Phone (401) 788-8780

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1477052256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028800229",
            "telephone_number": "401-788-8757",
            "fax_number": "401-782-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 KENYON AVE UNIT 210",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794241",
            "telephone_number": "401-788-8780",
            "fax_number": "401-788-8787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 Powel Ave",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "RI",
            "postal_code": "028402655",
            "country_code": "US",
            "telephone_number": "401-788-8780",
            "fax_number": "401-788-8787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3461 S County Trl Ste 201",
            "address_purpose": "LOCATION",
            "city": "East Greenwich",
            "state": "RI",
            "postal_code": "028181463",
            "country_code": "US",
            "telephone_number": "401-788-8780",
            "fax_number": "401-788-8787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Centerville Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028864336",
            "country_code": "US",
            "telephone_number": "401-788-8780",
            "fax_number": "401-788-8787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SILVER SPRING HEALTH CARE MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "FOGERTY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "DIRECTOR, DECISION SUPPORT",
        "authorized_official_telephone_number": "401-788-1978",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCMG Urology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South County Medical Group, Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wakefield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.