Individual provider Active NPI

Stephen Clayton Saris, MD

  • Neurological Surgery Physician
  • Providence, RI
National Provider Identifier
1477538411
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD 08444 Issued in RI
Practice address
3 Davol Square
Suite B200
Providence, RI 02903-4762
Phone
(401) 453-3545
Fax
(401) 543-3533
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD 08444 RI Primary
Neurological Surgery Physician 207T00000X 71248 MA

Addresses

Primary practice location

3 Davol Square
Suite B200
Providence, RI 02903-4762

Mailing address

3 Davol Square
Suite B200
Providence, RI 02903-4762
Phone (401) 453-3545

Other identifiers 16

IdentifierTypeStateIssuer
25614 2OtherRIBLUE CROSS
AS8844756002OtherCIGNA GROUP VENDOR
203537OtherBLUE CHIP
J08735OtherMABLUE CROSS
2060540OtherAETNE/ US HEALTHCARE
3051790OtherMASS HEALTH
12266RIHOtherHARVARD PILGRIM
638092003OtherCIGNA PAL
1156OtherNEIGHBORHOOD HEALTH PLAN
720118301OtherCIGNA
0018978OtherMANEIGHBORHOOD HEALTH PLAN
05 0501339OtherTAX ID
7003375OtherEDS OF RI INDIV
05 0501339OtherHEALTHCARE VALUE MANAG
003I05328OtherEDS OF CT
NS34351OtherEDS OF RI GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 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
I20050407000601 MA Practitioner - Neurosurgery 8729035118 Reassigns benefits to 1 organization
I20091014000308 RI Practitioner - Neurosurgery 8729035118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Boston University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brigham and Womens Physicians Organization IncGroup PAC ID 3870405988, 2,931 clinicians

Practice addresses (Care Compare)

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71248MAMDNeurological Surgery Physician
MD 08444RIMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham & Womens Physicians Organization Inc Neurological Surgery CurrentSince May 2, 2017 Accepting new patients
Prospect Chartercare Physicians, LLC Neurological Surgery CurrentSince Oct 1, 2021 Accepting new patients
Brigham and Women'S Hospital Current Accepting new patients

Locations

75 Francis St
Boston, MA 02115

375 Boylston St
Brookline, MA 02445
Phone (508) 718-4010

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

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

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

1 Davol Sq
Ste 302
Providence, RI 02903
Phone (401) 453-3545

Interoperability endpoints

  • Direct secure messaging: saris.stephen.bwh@direct.partners.masshiway.net

Organizations & group practices 3

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 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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1477538411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DAVOL SQUARE",
            "address_2": "SUITE B200",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034762",
            "telephone_number": "401-453-3545",
            "fax_number": "401-453-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 DAVOL SQUARE",
            "address_2": "SUITE B200",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034762",
            "telephone_number": "401-453-3545",
            "fax_number": "401-543-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARIS",
        "first_name": "STEPHEN",
        "middle_name": "CLAYTON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "RI",
            "license": "MD 08444",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MA",
            "license": "71248",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "25614 2",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GROUP VENDOR",
            "identifier": "AS8844756002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "203537",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "J08735",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNE/ US HEALTHCARE",
            "identifier": "2060540",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS HEALTH",
            "identifier": "3051790",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "12266RIH",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PAL",
            "identifier": "638092003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "1156",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "720118301",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0018978",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "05 0501339",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDS OF RI INDIV",
            "identifier": "7003375",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE VALUE MANAG",
            "identifier": "05 0501339",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDS OF CT",
            "identifier": "003I05328",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDS OF RI GROUP",
            "identifier": "NS34351",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.