Individual provider Active NPI

Daniel Edward Flynn, MD

  • Anesthesiology Physician
  • Westerly, RI
National Provider Identifier
1619237294
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD16804 Issued in RI
Practice address
25 Wells St
Westerly, RI 02891-2922
Phone
(401) 596-8990
NPI assigned
May 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 55210 CT
Anesthesiology Physician 207L00000X MD16804 RI Primary

Addresses

Primary practice location

25 Wells St
Westerly, RI 02891-2922

Mailing address

3400 Spruce St
Philadelphia, PA 19104-4206
Phone (215) 662-3793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, FL, RI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160922002455 CT Practitioner - Anesthesiology 7517254279 Reassigns benefits to 2 organizations
I20170418001138 FL Practitioner - Anesthesiology 7517254279 Reassigns benefits to 1 organization
I20190828002727 RI Practitioner - Anesthesiology 7517254279 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55210CTMDAnesthesiology Physician
MD16804RIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiologists of Middletown, P.C. Anesthesiology CurrentSince Jul 18, 2022 Accepting new patients
Northeast Medical Group, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Boca Anesthesia Service Inc Anesthesiology Current Accepting new patients
Boca Anesthesia Service Inc Anesthesiology CurrentSince Apr 10, 2017 Accepting new patients
Boca Anesthesia Service Inc Anesthesiology CurrentSince Apr 10, 2017 Accepting new patients

Locations

145 S Main St
Middletown, CT 06457
Phone (860) 346-5889

410 Saybrook Rd
Middletown, CT 06457
Phone (615) 686-2262

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

140 Cross Rd
Waterford, CT 06385
Phone (860) 701-0140

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

25 Wells St
Westerly, RI 02891
Phone (401) 348-3325

45 East Ave
Westerly, RI 02891
Phone (401) 596-6000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1619237294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "215-662-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WELLS ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912922",
            "telephone_number": "401-596-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "DANIEL",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-17",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "55210",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "RI",
            "license": "MD16804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

Verify at the official NPI Registry.