NPIMap

Individual provider Active NPI

Caillin Wyse Marquardt, MD

  • Orthopaedic Surgery Physician
  • East Providence, RI
National Provider Identifier
1578026332
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD20107 Issued in RI
Practice address
1 Kettle Point Ave
East Providence, RI 02914-5375
Phone
(401) 457-1500
NPI assigned
Apr 9, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD20107 RI Primary

Addresses

Primary practice location

1 Kettle Point Ave
East Providence, RI 02914-5375

Mailing address

1 Kettle Point Ave
East Providence, RI 02914-5375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, VA2 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
I20240718003251 RI Practitioner - Orthopedic Surgery 1153867833 Reassigns benefits to 1 organization
I20251029003171 VA Practitioner - Orthopedic Surgery 1153867833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Drexel University College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Medical Group Richmond Specialty Care LLCGroup PAC ID 8022440056, 350 clinicians

Practice addresses (Care Compare)

1501 Maple Ave
Richmond, VA 23226-2553

1510 N 28TH St
Richmond, VA 23223-5311

3400 Haydenpark LN
Henrico, VA 23233-7867
Phone (804) 285-2300

5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 764-6000

8220 Meadowbridge Rd
Suite 101
Mechanicsville, VA 23116-2336
Phone (804) 288-2673

8220 Meadowbridge Rd
Suite 202
Mechanicsville, VA 23116-2340
Phone (804) 285-2300

Hospital & facility affiliations

  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069
  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136
  • Rappahannock General Hospital Hospital, Kilmarnock, VA, CCN 491308
  • Sheltering Arms Institute Inpatient rehabilitation facility, Richmond, VA, CCN 493036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion97
Laminectomy or laminotomy (partial removal of spine bones)38
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD20107RIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC. Current Accepting new patients
University Orthopedics, Inc. Orthopaedic Surgery CurrentSince Aug 1, 2024 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC Orthopaedic Surgery CurrentSince Oct 1, 2025 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC Orthopaedic Surgery CurrentSince Oct 1, 2025 Accepting new patients
University Orthopedics, Inc. Orthopaedic Surgery CurrentSince Aug 1, 2024 Accepting new patients

Locations

1 Kettle Point Ave
East Providence, RI 02914
Phone (401) 330-1400

2 Dudley St
Ste 200
Providence, RI 02905
Phone (401) 457-1504

3400 Haydenpark Ln
Ste 100
Henrico, VA 23233

8220 Meadowbridge Rd
Ste 202
Mechanicsville, VA 23116
Phone (804) 730-5023

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

Interoperability endpoints

  • Direct secure messaging: cmarquardt@direct.carene.org

Organizations & group practices 5

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1578026332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KETTLE POINT AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029145375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KETTLE POINT AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029145375",
            "telephone_number": "401-457-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUARDT",
        "first_name": "CAILLIN",
        "middle_name": "WYSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "RI",
            "license": "MD20107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

Verify at the official NPI Registry.