Individual provider Active NPI

Irene S Chliwner, MD

  • Internal Medicine Physician
  • Warwick, RI
National Provider Identifier
1588745491
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD06838 Issued in RI
Practice address
400 Bald Hill Rd
Suite 520
Warwick, RI 02886-1617
Phone
(401) 793-8520
Fax
(401) 793-8527
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD06838 RI Primary

Addresses

Primary practice location

400 Bald Hill Rd
Suite 520
Warwick, RI 02886-1617

Mailing address

400 Bald Hill Rd
Suite 520
Warwick, RI 02886-1617
Phone (401) 793-8520

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address irene.chliwner.1@10.direct.athenahealth.com

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
I20120719000540 RI Practitioner - Internal Medicine 3577729524

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD06838RIMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1588745491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BALD HILL RD",
            "address_2": "SUITE 520",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861617",
            "telephone_number": "401-793-8520",
            "fax_number": "401-793-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BALD HILL RD",
            "address_2": "SUITE 520",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861617",
            "telephone_number": "401-793-8520",
            "fax_number": "401-793-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHLIWNER",
        "first_name": "IRENE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD06838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "irene.chliwner.1@10.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "400 Bald Hill Rd",
            "address_2": "Suite 520",
            "city": "Warwick",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028861617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.