Individual provider Active NPI

Clifford J Fields, DO

  • Family Medicine Physician
  • Cranston, RI
National Provider Identifier
1619901147
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO00356 Issued in RI
Practice address
725 Reservoir Ave Ste 103
Cranston, RI 02910-4451
Phone
(401) 829-4446
Fax
(401) 829-4434
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DO2808 ME
Emergency Medicine Physician 207P00000X DO 00356 RI
Emergency Medicine Physician 207P00000X 74935 MA
Addiction Medicine (Family Medicine) Physician 207QA0401X DO00356 RI
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X DO00356 RI
Family Medicine Physician 207Q00000X DO00356 RI Primary

Addresses

Primary practice location

725 Reservoir Ave Ste 103
Cranston, RI 02910-4451

Mailing address

725 Reservoir Ave Ste 103
Cranston, RI 02910-4451
Phone (401) 829-4446

Other identifiers 1

IdentifierTypeStateIssuer
DO00356OtherRIOSTEOPATHIC PHYSICIAN

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
I20040927000740 RI Practitioner - Emergency Medicine 8325012834 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO 00356RIMDEmergency Medicine Physician
DO00356RIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Associates of Woonsocket LLC Emergency Medicine CurrentSince Nov 1, 2016 Accepting new patients
Angell Street Psychiatry LTD Addiction Medicine CurrentSince Sep 27, 2019 Accepting new patients
Trucare Inc CurrentSince Dec 12, 2022 Accepting new patients
Blueprint Healthcare LLC CurrentSince Aug 1, 2022 Accepting new patients
Emergency Care Services of New England PC Emergency Medicine CurrentSince Apr 1, 2018 Accepting new patients
Pathology Consultants of New London, P.C. Current Accepting new patients
LMW Healthcare Inc. Emergency Medicine CurrentSince Aug 28, 2019 Accepting new patients
LMW Healthcare Inc. CurrentSince Aug 28, 2019 Accepting new patients
Kevin E Baill, MD and Associates, LLC Addiction Medicine Past Accepting new patients
Caritas Medical Group, Inc Emergency Medicine Past Accepting new patients
Sturdy Health, Inc. Family Medicine Past Accepting new patients
Emergency Medical Associates of Rhode Island PC Emergency Medicine Past Accepting new patients
Step Ri, PC Emergency Medicine Past Accepting new patients
Dermatology Care Specialists Inc Past Accepting new patients

Locations

451 Andover St
Ste 205
North Andover, MA 01845
Phone (978) 983-2434

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

725 Reservoir Ave
Ste 103
Cranston, RI 02910
Phone (401) 829-4446

1524 Atwood Ave
Ste 437
Johnston, RI 02919
Phone (401) 383-9570

200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000

180 Log Rd
Smithfield, RI 02917
Phone (401) 231-7016

33 College Hill Rd
Ste 29C
Warwick, RI 02886
Phone (401) 732-5678

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

115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1619901147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE STE 103",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104451",
            "telephone_number": "401-829-4446",
            "fax_number": "401-829-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE STE 103",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104451",
            "telephone_number": "401-829-4446",
            "fax_number": "401-829-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "CLIFFORD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "DO2808",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "RI",
            "license": "DO 00356",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "74935",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "RI",
            "license": "DO00356",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "RI",
            "license": "DO00356",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "DO00356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSTEOPATHIC PHYSICIAN",
            "identifier": "DO00356",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.