NPIMap

Individual provider Active NPI

Michael J Monsour, MD

  • Nephrology Physician
  • East Providence, RI
National Provider Identifier
1528052677
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
14468 Issued in RI
Practice address
318 Waterman Ave
East Providence, RI 02914-3525
Phone
(401) 438-5950
Fax
(401) 435-6700
NPI assigned
Sep 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01056415A IN
Nephrology Physician 207RN0300X 14468 RI Primary
Nephrology Physician 207RN0300X 257637 MA

Addresses

Primary practice location

318 Waterman Ave
East Providence, RI 02914-3525

Mailing address

318 Waterman Ave
East Providence, RI 02914-3525
Phone (401) 438-5950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141013001065 RI Practitioner - NephrologyPractitioner - Internal Medicine 6406095256 Reassigns benefits to 1 organization
I20141205001439 MA Practitioner - Internal MedicinePractitioner - Nephrology 6406095256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Loyola University of Chicago, Stritch School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates IncGroup PAC ID 8426061185, 9 clinicians

Practice addresses (Care Compare)

211 Park St
Attleboro, MA 02703-3143
Phone (401) 438-5950

314 Taunton Ave
East Providence, RI 02914-2641
Phone (401) 438-5950

Hospital & facility affiliations

  • Dialysis Center of Woonsocket Dialysis facility, Woonsocket, RI, CCN 412503
  • Dialysis Center of East Providence Dialysis facility, East Providence, RI, CCN 412512
  • Sturdy Memorial Hospital Hospital, Attleboro, MA, CCN 220008
  • Landmark Medical Center Hospital, Woonsocket, RI, CCN 410011
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Our Lady of Fatima Hospital Hospital, North Providence, RI, CCN 410005
  • Saint Anne'S Hospital Hospital, Fall River, MA, CCN 220020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
257637MAMDNephrology Physician
14468RIMDNephrology Physician

Interoperability endpoints

  • Direct secure messaging: michael.monsour.1@25334.direct.athenahealth.com
  • Direct secure messaging: mmonsour22108@direct.southcoast.org
  • Direct secure messaging: mmonsour@kent.cernerdirect.carene.org

Organizations & group practices 1

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 8

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": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1528052677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 WATERMAN AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029143525",
            "telephone_number": "401-438-5950",
            "fax_number": "401-435-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 WATERMAN AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029143525",
            "telephone_number": "401-438-5950",
            "fax_number": "401-435-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONSOUR",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01056415A",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "RI",
            "license": "14468",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "257637",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

Verify at the official NPI Registry.