Individual provider Active NPI

James Myers, MD

  • Pulmonary Disease Physician
  • Riverside, RI
National Provider Identifier
1578550265
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD05367 Issued in RI
Practice address
375 Wampanoag TRL
Riverside, RI 02915-2232
Phone
(401) 649-4070
Fax
(401) 649-4071
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD05367 RI
Pulmonary Disease Physician 207RP1001X MD05367 RI Primary

Addresses

Primary practice location

375 Wampanoag TRL
Riverside, RI 02915-2232

Mailing address

10 Davol SQ
Suite 400
Providence, RI 02903-4754
Phone (401) 421-4000

Other practice location 1

450 Veterans Memorial Pkwy
Building 6
East Providence, RI 02914-5300
Phone (401) 435-5533

Other identifiers 3

IdentifierTypeStateIssuer
7002790MedicaidRI
290007114OtherRIRR MEDICARE
709004158OtherRIGROUP MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmyers29028@direct.lifespan.org

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040607000745 RI Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 3870575442 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Medical College of Wisconsin, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Miriam HospitalGroup PAC ID 6901796408, 178 clinicians
Brown MedicineGroup PAC ID 0446159776, 220 clinicians
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

Practice addresses (Care Compare)

164 Summit Ave
Providence, RI 02906-2853
Phone (401) 793-2104

375 Wampanoag TRL
Riverside, RI 02915-2232
Phone (401) 649-4010

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Miriam Hospital CurrentSince Feb 10, 2025 Accepting new patients
Brown Medicine Internal Medicine Current Accepting new patients
Coastal Medical Physicians, Inc. Internal Medicine CurrentSince Apr 25, 2021 Accepting new patients
Brown Medicine CurrentSince Mar 1, 2024 Accepting new patients
Coastal Medical Physicians, Inc. Internal Medicine CurrentSince Apr 25, 2021 Accepting new patients
Lifespan Physician Group Inc CurrentSince Jan 1, 2026 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Brown Medicine CurrentSince Mar 1, 2024 Accepting new patients
The Miriam Hospital CurrentSince Feb 10, 2025 Accepting new patients
Brown Medicine Pulmonary Disease Past Accepting new patients
Rhode Island Hospital Past Accepting new patients
Coastal Medical Inc Past Accepting new patients
Coastal Medical, Inc. Past Accepting new patients

Locations

450 Veterans Memorial Pkwy
Bldg 6
East Providence, RI 02914
Phone (401) 435-5533

450 Veterans Memorial Pkwy
East Providence, RI 02914
Phone (401) 431-0080

450 Veterans Memorial Pkwy
Bldg 9
East Providence, RI 02914
Phone (401) 435-5533

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

450 Veterans Memorial Pkwy
Ste 601
East Providence, RI 02914
Phone (401) 435-5600

2 Dudley St
#1
Providence, RI 02905
Phone (401) 444-5471

593 Eddy St
Providence, RI 02903

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

375 Wampanoag Trl
Riverside, RI 02915
Phone (401) 649-4010

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1578550265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DAVOL SQ",
            "address_2": "SUITE 400",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034754",
            "telephone_number": "401-421-4000",
            "fax_number": "401-272-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 WAMPANOAG TRL",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029152232",
            "telephone_number": "401-649-4070",
            "fax_number": "401-649-4071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Veterans Memorial Pkwy",
            "address_2": "Building 6",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029145300",
            "country_code": "US",
            "telephone_number": "401-435-5533",
            "fax_number": "401-431-2555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD05367",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "RI",
            "license": "MD05367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7002790",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "290007114",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "709004158",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmyers29028@direct.lifespan.org",
            "affiliation": "N",
            "address_1": "900 Warren Ave Ste 401",
            "city": "East Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029141430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverside, RI

Sources for this page

Verify at the official NPI Registry.