Robert a. Carrellas, M.D, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

8200 Issued in RI

Legal business name

ROBERT A. CARRELLAS, M.D, P.C.

Practice address

674 Aquidneck Ave
Building a, Unit 1
Middletown, RI 02842-5692

Phone

(401) 847-9955

Fax

(401) 847-9948

NPI assigned

Sep 1, 2006

Last updated

Aug 20, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert A Carrellas, M.D.NPI 1417138850

Title

President

Phone

(401) 847-9955

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Carrellas

  • Family Medicine Physician
  • Middletown, RI
  • NPI 1417138850
  Medicare reassignment NPD Authorized official
• Michael Sison Duque, M.D.

  • Internal Medicine Physician
  • Middletown, RI
  • NPI 1871816488
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1619079852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "674 AQUIDNECK AVE",
            "address_2": "BUILDING A, UNIT 1",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425692",
            "telephone_number": "401-847-9955",
            "fax_number": "401-847-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 AQUIDNECK AVE",
            "address_2": "BUILDING A, UNIT 1",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425692",
            "telephone_number": "401-847-9955",
            "fax_number": "401-847-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A. CARRELLAS, M.D, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "CARRELLAS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-847-9955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "8200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7002857",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhode Island Optometrics, LLC
• Bethany Richards, PHARMD, RPH
• Seth Richards, PHARMD
• Alessi A Rispoli, O.D.
• Katherine Rispoli, O.D.
• Baley V Rochefort, PHARM.D.
• Marc Edwards Rodrigues Davis
• Jacqueline Marie Rogers, LCSW
• Teresa Carolyn Roney, R.N.
• Natalia Rosa

• Family Medicine Physician in Middletown, RI
• Providers in Middletown, RI by specialty
• Family Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.