Marina Kuperman-Beade, M.D., F.A.A.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

MD10753 Issued in RI

Practice address

1030 President Ave Ste 306
Fall River, MA 02720-5923

Phone

(401) 751-7546

Fax

(401) 751-6888

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Dermatology

Education

Warren Alpert Medical School of Brown University, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Surgical and Cosmetic Dermatology of Rhode Island LLCGroup PAC ID 4183687205, 3 clinicians

Rhode Island Dermatology and Cosmetic Center LLCGroup PAC ID 8123007523, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Concord Health Services Home health agency, Cranston, RI, CCN 417049

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AFBBBA
• Direct secure messaging: marina.kupermanbeade@scdor.eclinicaldirectplus.com

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.

• Surgical & Cosmetic Dermatology of Rhode Island, LLC

  • MOHS-Micrographic Surgery Physician
  • Providence, RI
  • NPI 1770770547

  MA

  Medicare reassignment Care Compare group NPD Authorized official
• Rhode Island Dermatology & Cosmetic Center LLC

  • Specialist
  • Lincoln, RI
  • NPI 1972676021
  Medicare reassignment Care Compare group NPD
• Rhode Island Dermatology Obs

  • Ambulatory Surgical Clinic/Center
  • Lincoln, RI
  • NPI 1235202201
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Concord Health Services, Inc

  • Home Health Agency
  • Cranston, RI
  • NPI 1225029770
  Care Compare affiliation

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1477572816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RANDALL SQUARE",
            "address_2": "SUITE 306",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042709",
            "telephone_number": "401-751-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 PRESIDENT AVE STE 306",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205923",
            "telephone_number": "401-751-7546",
            "fax_number": "401-751-6888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Wake Robin Rd Unit 5",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "RI",
            "postal_code": "028654208",
            "country_code": "US",
            "telephone_number": "401-475-9140",
            "fax_number": "401-475-2808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Randall Sq",
            "address_2": "Suite 306",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029042709",
            "country_code": "US",
            "telephone_number": "401-751-7546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUPERMAN-BEADE",
        "first_name": "MARINA",
        "credential": "M.D., F.A.A.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "RI",
            "license": "MD10753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00241153",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9023992",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandy Marie Kukler, PHARMD
• Ashley Kulasewski, OT
• Tushar Kumar, MD
• Nibha Bharat Kumbhani
• Krzysztof K Kundo, M.D.
• Colby Kupsc
• Diane Fournier Kuriscak, RPH
• Morton David Kurland, M.D.
• Barbara Kusinitz, LICSW
• Natalie Jackson Kusner

• MOHS-Micrographic Surgery Physician in Fall River, MA
• Providers in Fall River, MA by specialty
• MOHS-Micrographic Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.