NPIMap

Individual provider Active NPI

Matthew Trowbridge Salisbury, M.D.

  • Family Medicine Physician
  • Cranston, RI
National Provider Identifier
1477511236
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD11176 Issued in RI
Practice address
1500 Pontiac Ave
Cranston, RI 02920-4406
Phone
(401) 344-4300
Fax
(401) 464-4071
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD11176 RI Primary

Addresses

Primary practice location

1500 Pontiac Ave
Cranston, RI 02920-4406

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4513
Phone (401) 444-6779

Other identifiers 1

IdentifierTypeStateIssuer
MS53336MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040317000219 RI Practitioner - Family Practice 2062302821 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 2000
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

Practice addresses (Care Compare)

1500 Pontiac Ave
Suite 101
Cranston, RI 02920-4486
Phone (401) 944-4300

Hospital & facility affiliations

  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007
  • Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD11176RIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Corporation Current Accepting new patients
Coastal Medical Physicians, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Nov 1, 2018 Accepting new patients
Coastal Medical Physicians, Inc. Family Medicine CurrentSince Feb 1, 2024 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Nov 1, 2018 Accepting new patients
Prospect Chartercare Physicians, LLC Family Medicine CurrentSince Jun 1, 2014 Accepting new patients
Coastal Medical, Inc. Past Accepting new patients

Locations

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

1500 Pontiac Ave
Cranston, RI 02920
Phone (401) 529-1819

1500 Pontiac Ave
Ste 101
Cranston, RI 02920
Phone (401) 371-0223

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

50 Maude St
Providence, RI 02908
Phone (401) 456-2200

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

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

501 Centerville Rd
Ste 101
Warwick, RI 02886
Phone (401) 606-2680

Interoperability endpoints

  • Direct secure messaging: msalisbury182633@brownhealth.medalliesdirect.net

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 7

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1477511236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ELLENFIELD ST STE 101",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054513",
            "telephone_number": "401-444-6779",
            "fax_number": "401-444-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PONTIAC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204406",
            "telephone_number": "401-344-4300",
            "fax_number": "401-464-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALISBURY",
        "first_name": "MATTHEW",
        "middle_name": "TROWBRIDGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD11176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MS53336",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.