Active NPI
Gregory Sadovnikoff, M.D.
- Family Medicine Physician
- Barrington, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD10134
- Practice address
- 60 Bay Spring Ave
Unit A1
Barrington, RI 02806-1384 - Phone
- (401) 289-2961
- NPI assigned
- Dec 7, 2005
- Last updated
- Apr 24, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD10134 | RI | Primary |
| Family Medicine Physician | 207Q00000X | 160319 | MA |
Addresses
Primary practice location
60 Bay Spring Ave
Unit A1
Barrington, RI 02806-1384
Mailing address
60 Bay Spring Ave
Unit A1
Barrington, RI 02806-1384
Phone (401) 289-2961
Other practice location 1
208 Mill Rd
Fairhaven, MA 02719-5208
Phone (508) 973-2432
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD10134 | Other | RI | MEDICAL LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gsadovnikoff40181@direct.southcoast.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Jefferson Medical College of Thomas Jefferson University, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12 Main St
Lakeville, MA 02347-1606
Phone (508) 973-2432
206 Mill Rd
Fairhaven, MA 02719-5208
Phone (508) 973-3000
208 Mill Rd
Fairhaven, MA 02719-5208
Phone (508) 758-3781
37 Commerce Way
Seekonk, MA 02771-5816
Phone (508) 336-6181
534 Prospect St
Fall River, MA 02720-5281
Phone (508) 973-7766
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Physicians Group, Inc. | Family Medicine | Current | Accepting new patients |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Atwood Medical Associates LTD | Past | Accepting new patients |
Locations
208 Mill Rd
Fairhaven, MA 02719
Phone (508) 758-3781
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
11 Friendship St
Newport, RI 02840
Phone (401) 845-1110
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Barrington, RI
- NPI 1184942930
-
- Orthopaedic Surgery Physician
- North Dartmouth, MA
- NPI 1902201536
-
- Pulmonary Disease Physician
- Johnston, RI
- NPI 1558386227
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tobey Hospital
- General Acute Care Hospital
- Wareham, MA
- NPI 1922024835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587686400000",
"number": "1508841081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 BAY SPRING AVE",
"address_2": "UNIT A1",
"city": "BARRINGTON",
"state": "RI",
"postal_code": "028061384",
"telephone_number": "401-289-2961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 BAY SPRING AVE",
"address_2": "UNIT A1",
"city": "BARRINGTON",
"state": "RI",
"postal_code": "028061384",
"telephone_number": "401-289-2961"
}
],
"practiceLocations": [
{
"address_1": "208 Mill Rd",
"address_purpose": "LOCATION",
"city": "Fairhaven",
"state": "MA",
"postal_code": "027195208",
"country_code": "US",
"telephone_number": "508-973-2432",
"fax_number": "508-973-2435",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SADOVNIKOFF",
"first_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "RI",
"license": "MD10134",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "160319",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "MD10134",
"state": "RI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gsadovnikoff40181@direct.southcoast.org",
"affiliation": "N",
"endpointDescription": "Southcoast Health Epic Direct Address",
"address_1": "208 Mill Rd",
"city": "Fairhaven",
"state": "MA",
"country_code": "US",
"postal_code": "027195208",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Barrington, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.