Organization Active NPI

Cumberland Primary Care Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Cumberland, RI
National Provider Identifier
1528394178
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
CUMBERLAND PRIMARY CARE INC
Practice address
2138 Mendon Rd
Suite 101a
Cumberland, RI 02864-3834
Phone
(401) 333-8500
Fax
(401) 333-2191
NPI assigned
Nov 2, 2009
Last updated
Aug 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Dr. Altaf A Girach, MDNPI 1801982491
Title
Owner
Phone
(401) 333-8500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X Primary

Addresses

Primary practice location

2138 Mendon Rd
Suite 101a
Cumberland, RI 02864-3834

Mailing address

2138 Mendon Rd
Suite 101
Cumberland, RI 02864-3834
Phone (401) 333-8500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100203000771 RI Part B Supplier - Clinic/Group Practice 2163565896 Receives reassigned benefits from 1 practitioner
Practice locations: Cumberland, RI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
41D2001009Cumberland Primary Care Inc2138 Mendon Road Suite 101a, Cumberland, RI 02864Certificate of waiverDec 9, 2027

National Provider Directory

National Provider Directory

Locations

2138 Mendon Rd
Ste 101
Cumberland, RI 02864
Phone (401) 333-8500

2138 Mendon Rd
Ste 101A
Cumberland, RI 02864
Phone (401) 333-8500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1528394178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 MENDON RD",
            "address_2": "SUITE 101",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028643834",
            "telephone_number": "401-333-8500",
            "fax_number": "401-333-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 MENDON RD",
            "address_2": "SUITE 101A",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028643834",
            "telephone_number": "401-333-8500",
            "fax_number": "401-333-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND PRIMARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "GIRACH",
        "authorized_official_first_name": "ALTAF",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-333-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.