Individual provider Active NPI

Mark Peter Andreozzi, D.O.

  • Otolaryngology Physician
  • Warwick, RI
National Provider Identifier
1487701975
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
DO00369 Issued in RI
Practice address
3520 Post Rd
Warwick, RI 02886-7140
Phone
(401) 921-5800
Fax
(401) 921-5826
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X DO00369 RI Primary

Addresses

Primary practice location

3520 Post Rd
Warwick, RI 02886-7140

Mailing address

3520 Post Rd
Warwick, RI 02886-7140
Phone (401) 921-5800

Other identifiers 7

IdentifierTypeStateIssuer
1000144OtherRIUNITED HEALTHCARE
9002403MedicaidRI
000369OtherRITUFTS
0000002640OtherRIBLUESHIELD OF RI
004693OtherRIBLUECHIP OF RI
04005983OtherRIRAILROAD MEDICARE
1945OtherRINEIGHBORHOOD HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070626000786 RI Practitioner - Otolaryngology 6002915428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of New England, College of Osteo Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Inc 8 clinicians

Practice addresses (Care Compare)

3520 Post Rd
Warwick, RI 02886-7140
Phone (401) 921-5800

Hospital & facility affiliations

  • Women & Infants Hospital of Rhode Island Hospital, Providence, RI, CCN 410010
  • Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • South County Hospital Inc Hospital, Wakefield, RI, CCN 410008

Merit-based Incentive Payment System (MIPS)

Final score
76.78 of 100Reported as group
Quality
57.1
Promoting interoperability
81
Improvement activities
40
Cost
81.32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
ENT and Allergy Inc Otolaryngology CurrentSince Sep 1, 2005 Accepting new patients
The ENT Center of Rhode Island LLC PastSince Aug 1, 2008 Accepting new patients

Locations

251 Park Ave
Cranston, RI 02905
Phone (401) 275-0700

450 Veterans Memorial Pkwy
Bldg 1
East Providence, RI 02914
Phone (401) 432-5644

400 Warren Ave
#2L
East Providence, RI 02914

400 Warren Ave
Ste 2
East Providence, RI 02914

3520 Post Rd
Warwick, RI 02886
Phone (401) 921-5800

Organizations & group practices 2

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 5

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190592000000",
    "number": "1487701975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 POST RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028867140",
            "telephone_number": "401-921-5800",
            "fax_number": "401-921-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 POST RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028867140",
            "telephone_number": "401-921-5800",
            "fax_number": "401-921-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREOZZI",
        "first_name": "MARK",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "RI",
            "license": "DO00369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1000144",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9002403",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "000369",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD OF RI",
            "identifier": "0000002640",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP OF RI",
            "identifier": "004693",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "04005983",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "1945",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.