David W Ashley, MD
Individual provider Active NPI Family Medicine Physician · Providence, RI
NPI 1477523488 · NPPES record last updated Jul 20, 2022
Key facts
- NPI
- 1477523488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD08461 (RI)
- Practice address
- 345 Blackstone Blvd
Providence, RI 02906-4800 - Phone
- (401) 680-6502
- Fax
- (401) 680-4182
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040616000019 | RI | Practitioner - Internal Medicine |
2769466903 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD08461 | RI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zipongo Health Provider Group P.a. | Current |
Accepting new patients | |
| Blackstone Valley Community Health Care, Inc. | Current |
Accepting new patients | |
| Blackstone Valley Community Health Care, Inc. | Past | Accepting new patients |
Locations
9 Chestnut St
Central Falls, RI 02863
Phone (401) 722-0081
39 East Ave
Pawtucket, RI 02860
Phone (401) 722-0081
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD08461 | RI | Yes |
Addresses
Primary practice location
345 Blackstone Blvd
Providence, RI 02906-4800
Mailing address
455 Tollgate Rd
Professional Revenue Cycle and Credentialing
Warwick, RI 02886-2759
Phone (401) 273-0641
Other practice location 1
20 Commons Corner Way Bldg 120
Wakefield, RI 02879-2291
Phone (401) 294-6170
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dashley@direct.carene.org | Health Information Exchange (HIE) |
Other providers in Providence, RI
- Jean-Claude M Asaker
- Ernest Asamoah
- Evelyn Asante
- Nicole Frances Asante
- Shyamal R Asher
- Aisha Germaine Ashraf
- Emmanuel Asiedu
- Anum Asif
- Mariepet Tabanas Ask
- Kathleen D. Askland
All providers in Providence, RI · Family Medicine Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.