Individual provider Active NPI

John P Miskovsky, MD

  • Internal Medicine Physician
  • Pawtucket, RI
National Provider Identifier
1497743330
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD10350 Issued in RI
Practice address
131 Beechwood Avenue
Pawtucket, RI 02860
Phone
(401) 475-1999
Fax
(401) 475-6932
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD10350 RI Primary

Addresses

Primary practice location

131 Beechwood Avenue
Pawtucket, RI 02860

Mailing address

131 Beechwood Avenue
Pawtucket, RI 02860
Phone (401) 475-1999

Other identifiers 1

IdentifierTypeStateIssuer
9022171MedicaidRI

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
I20070507000671 RI Practitioner - Internal Medicine 9234235250 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Warren Alpert Medical School of Brown University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heritage Medical Associates PCGroup PAC ID 5597862748, 2 clinicians
Prospect Chartercare Physicians LLCGroup PAC ID 0840416657, 71 clinicians
Prospect Chartercare RWMC, LLCGroup PAC ID 0547492696, 66 clinicians

Practice addresses (Care Compare)

131 Beechwood Ave
Pawtucket, RI 02860-5409
Phone (401) 475-1999

1681 Cranston St
Cranston, RI 02920-5000
Phone (401) 944-6889

825 Chalkstone Ave
Providence, RI 02908-4728
Phone (401) 456-2000

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Warwick, RI, CCN 417036
  • Nurse on Call Home health agency, Lincoln, RI, CCN 417059
  • Hopehealth Hospice & Palliative Care Hospice, Providence, RI, CCN 411500
  • Roger Williams Medical Center Hospital, Providence, RI, CCN 410004
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009
  • Newport Hospital Hospital, Newport, RI, CCN 410006
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chartercare Physicians, LLC Internal Medicine CurrentSince May 28, 2025 Accepting new patients
Prospect Chartercare RWMC, LLC Internal Medicine CurrentSince Sep 29, 2020 Accepting new patients
Chartercare Roger Williams Medical Center Internal Medicine CurrentSince May 28, 2025 Accepting new patients
Prospect Chartercare RWMC, LLC CurrentSince Sep 29, 2020 Accepting new patients
Heritage Medical Associates PC Internal Medicine CurrentSince Jan 13, 2007 Accepting new patients
Prospect Chartercare Physicians, LLC Internal Medicine CurrentSince Apr 23, 2018 Accepting new patients
Sripathi a.S. Karanth, MD, Inc Internal Medicine PastSince Jan 13, 2007 Accepting new patients

Locations

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

106 Nate Whipple Hwy
Cumberland, RI 02864
Phone 40133424233324

131 Beechwood Ave
#1
Pawtucket, RI 02860

131 Beechwood Ave
Pawtucket, RI 02860
Phone (401) 475-1999

333 School St
Ste 210
Pawtucket, RI 02860
Phone (401) 475-1999

50 Maude St
Ste 4
Providence, RI 02908

1 Randall Sq
Providence, RI 02904
Phone (401) 272-5500

50 Maude St
Fl 4
Providence, RI 02908
Phone (401) 456-2145

1 Randall Sq
Ste 304
Providence, RI 02904
Phone (401) 228-3000

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

501 Wampanoag Trl
Unit 2
Riverside, RI 02915
Phone (401) 435-3327

25 John a Cummings Way
Woonsocket, RI 02895
Phone (401) 235-7310

Interoperability endpoints

  • Direct secure messaging: john.miskovsky.1@9000.direct.athenahealth.com
  • FHIR API: https://arr01.service.vumc.org/FHIR-PRD/api/FHIR/R4
  • FHIR API: https://fhir4.healow.com/fhir/r4/EIAGAA/Endpoint/EIAGAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JDCFAA/Endpoint/JDCFAA

Organizations & group practices 7

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 12

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1497743330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 BEECHWOOD AVENUE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-475-1999",
            "fax_number": "401-475-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 BEECHWOOD AVENUE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-475-1999",
            "fax_number": "401-475-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISKOVSKY",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD10350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9022171",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.