NPIMap

Individual provider Active NPI

Susan Cu Uvin, MD

  • Internal Medicine Physician
  • Providence, RI
National Provider Identifier
1487609244
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD08721 Issued in RI
Practice address
1125 N Main St
Providence, RI 02904-5739
Phone
(401) 793-2928
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD08721 RI
Internal Medicine Physician 207R00000X MD08721 RI Primary

Addresses

Primary practice location

1125 N Main St
Providence, RI 02904-5739

Mailing address

180 Corliss St Ste E2
Providence, RI 02904-2602

Other practice location 1

180 Corliss St Ste E2
Providence, RI 02904-2602
Phone (401) 793-2928

Other practice location 2

180 Corliss St Ste E1
Providence, RI 02904-2602
Phone (401) 793-2928

Other identifiers 1

IdentifierTypeStateIssuer
7005235MedicaidRI

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
I20040615000018 RI Practitioner - Internal Medicine 1951385343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Miriam HospitalGroup PAC ID 6901796408, 178 clinicians

Practice addresses (Care Compare)

180 Corliss St
Providence, RI 02904-2602

Hospital & facility affiliations

  • The Miriam Hospital Hospital, Providence, RI, CCN 410012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD08721RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Medicine CurrentSince Jan 1, 2000 Accepting new patients
Lifespan Corporation Current Accepting new patients
The Miriam Hospital CurrentSince Dec 12, 2011 Accepting new patients
The Miriam Hospital CurrentSince Dec 12, 2011 Accepting new patients
The Miriam Hospital Past Accepting new patients

Locations

110 Elm St
Providence, RI 02903
Phone (401) 443-4992

164 Summit Ave
Ste E
Providence, RI 02906
Phone (401) 793-2928

593 Eddy St
Providence, RI 02903

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

180 Corliss St
Ste E2
Providence, RI 02904
Phone (401) 793-2928

180 Corliss St
Ste E1
Providence, RI 02904
Phone (401) 793-2928

1125 N Main St
Providence, RI 02904
Phone (401) 793-2928

375 Wampanoag Trl
Riverside, RI 02915
Phone (401) 649-4010

Interoperability endpoints

  • Direct secure messaging: scuuvin29459@brownhealth.medalliesdirect.net

Organizations & group practices 15

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.

View all 15

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1487609244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 CORLISS ST STE E2",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045739",
            "telephone_number": "401-793-2928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Corliss St Ste E2",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029042602",
            "country_code": "US",
            "telephone_number": "401-793-2928",
            "fax_number": "401-793-7401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 Corliss St Ste E1",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029042602",
            "country_code": "US",
            "telephone_number": "401-793-2928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CU UVIN",
        "first_name": "SUSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "RI",
            "license": "MD08721",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD08721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7005235",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.