Organization Active NPI

US Care Inc

  • Pain Medicine Physician
  • Providence, RI
National Provider Identifier
1609053347
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
MD10308 Issued in RI
Legal business name
US CARE INC
Practice address
955 Chalkstone Ave
Providence, RI 02908-4220
Phone
(401) 228-7585
Fax
(401) 228-7588
NPI assigned
Jan 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Hafeez Khan, MD
Title
Physician Owner
Phone
(401) 228-7585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X MD10308 RI Primary

Addresses

Primary practice location

955 Chalkstone Ave
Providence, RI 02908-4220

Mailing address

955 Chalkstone Ave
Providence, RI 02908-4220
Phone (401) 228-7585

Other identifiers 1

IdentifierTypeStateIssuer
HK96917MedicaidRI

National Provider Directory

National Provider Directory

Locations

955 Chalkstone Ave
Providence, RI 02908
Phone (401) 228-7585

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1609053347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 CHALKSTONE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084220",
            "telephone_number": "401-228-7585",
            "fax_number": "401-228-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 CHALKSTONE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084220",
            "telephone_number": "401-228-7585",
            "fax_number": "401-228-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "HAFEEZ",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "401-228-7585",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "RI",
            "license": "MD10308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HK96917",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.