Organization Active NPI

Idmann Associates LLC

  • Internal Medicine Physician
  • Lincoln, RI
National Provider Identifier
1609658350
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
IDMANN ASSOCIATES LLC
Practice address
5 Lori Ellen Dr
Lincoln, RI 02865-4912
Phone
(401) 270-5469
NPI assigned
Oct 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Dr. Nnamdi Amaechina, MDNPI 1144531518
Title
Owner
Phone
(401) 575-3647

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5 Lori Ellen Dr
Lincoln, RI 02865-4912

Mailing address

5 Lori Ellen Dr
Lincoln, RI 02865-4912
Phone (401) 270-5469

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240603002840 RI Part B Supplier - Clinic/Group Practice 0547702821 Receives reassigned benefits from 1 practitioner
Practice locations: Lincoln, RI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1609658350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LORI ELLEN DR",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028654912",
            "telephone_number": "401-270-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LORI ELLEN DR",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028654912",
            "telephone_number": "401-270-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDMANN ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "AMAECHINA",
        "authorized_official_first_name": "NNAMDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-575-3647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.