Angelo Carpethos, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA00268 Issued in RI

Practice address

684 Warren Ave
East Providence, RI 02914-1405

Phone

(401) 434-0022

Fax

(401) 434-6111

NPI assigned

Oct 12, 2006

Last updated

Sep 18, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Medical Center and Walk-in LLCGroup PAC ID 1951521079, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Primary Medical Center and Walk-in LLC

  • Family Medicine Physician
  • East Providence, RI
  • NPI 1225444243
  Medicare reassignment Care Compare group
• Primary Walk-in Medical Urgent Care LLC

  • Urgent Care Clinic/Center
  • East Providence, RI
  • NPI 1790260974
  Medicare reassignment

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

• The Miriam Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1487649430
  Care Compare affiliation

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1518056795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 WARREN AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141405",
            "telephone_number": "401-434-0022",
            "fax_number": "401-434-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 WARREN AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141405",
            "telephone_number": "401-434-0022",
            "fax_number": "401-434-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPETHOS",
        "first_name": "ANGELO",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "RI",
            "license": "PA00268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carelink, Inc.
• Carelink, Inc.
• Robin H Carey, RPH, PHARMD
• Caroline Gojcz Licsw LLC
• Caroline Gojcz Licsw LLC
• Qiana Carter Johnson
• Nicolas L Carvil
• Emma Castle, PT
• Rachel Joyce Caswell, OTR/L
• Meredith Rose Cavanagh, PA-C

• Medical Physician Assistant in East Providence, RI
• Providers in East Providence, RI by specialty
• Medical Physician Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.