Individual provider Active NPI

Guy Lancellotti, MD

  • Surgery Physician
  • Warwick, RI
National Provider Identifier
1609838697
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
6080 Issued in RI
Practice address
227 Centerville Rd
Suite 2
Warwick, RI 02886-4394
Phone
(401) 737-4828
Fax
(401) 732-8484
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 6080 RI Primary
Vascular Surgery Physician 2086S0129X 6080 RI

Addresses

Primary practice location

227 Centerville Rd
Suite 2
Warwick, RI 02886-4394

Mailing address

227 Centerville Rd
Suite 2
Warwick, RI 02886-4394
Phone (401) 737-4828

Other identifiers 3

IdentifierTypeStateIssuer
838-7OtherRIBCBSRI
002519OtherRIBCBSRI/CHIP
7000574MedicaidRI

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
I20101217000086 RI Practitioner - General Surgery 2668660671

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

345 Blackstone Blvd
Providence, RI 02906-4861

390 Toll Gate Rd
Warwick, RI 02886-4300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6080RIMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC. Surgery CurrentSince Jan 16, 2011 Accepting new patients
Kent County Memorial Hospital CurrentSince May 22, 1991 Accepting new patients
Kent County Memorial Hospital Vascular Surgery CurrentSince May 22, 1991 Accepting new patients
Affinity Physicians LLC CurrentSince Jan 16, 2011 Accepting new patients

Locations

345 Blackstone Blvd
Providence, RI 02906
Phone (401) 455-6375

227 Centerville Rd
Warwick, RI 02886
Phone (401) 732-3332

227 Centerville Rd
Fl 2
Warwick, RI 02886
Phone (401) 732-8200

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

Interoperability endpoints

  • Direct secure messaging: glancellotti@kent.cernerdirect.carene.org
  • Direct secure messaging: glancellotti@direct.carene.org

Organizations & group practices 4

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 2

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1609838697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 CENTERVILLE RD",
            "address_2": "SUITE 2",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864394",
            "telephone_number": "401-737-4828",
            "fax_number": "401-732-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 CENTERVILLE RD",
            "address_2": "SUITE 2",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864394",
            "telephone_number": "401-737-4828",
            "fax_number": "401-732-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCELLOTTI",
        "first_name": "GUY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "RI",
            "license": "6080",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "RI",
            "license": "6080",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSRI",
            "identifier": "838-7",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSRI/CHIP",
            "identifier": "002519",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000574",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.