NPIMap

Individual provider Active NPI

Nadia Duvilaire, M.D

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1619914413
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD16438 Issued in RI
Practice address
413 E 120TH St
New York, NY 10035-3602
Phone
(212) 410-7940
Fax
(212) 410-9236
NPI assigned
Jun 1, 2006
Last updated
Dec 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD16438 RI Primary
Family Medicine Physician 207Q00000X 217621 NY

Addresses

Primary practice location

413 E 120TH St
New York, NY 10035-3602

Mailing address

823 Main St
Hope Valley, RI 02832-1920
Phone (401) 539-2461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190405001364 RI Practitioner - Family Practice 3577521012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of Ny Upstate Medical University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wood River Health Services IncGroup PAC ID 2466417506, 14 clinicians

Practice addresses (Care Compare)

823 Main St
Hope Valley, RI 02832-1920
Phone 4015392461288

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
217621NYMDFamily Medicine Physician
MD16438RIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wood River Health Services, Inc. CurrentSince Jan 20, 2019 Accepting new patients
CMC Housestaff Family Medicine Past Accepting new patients
The Brookdale Hospital Medical Center Past Accepting new patients
Thames Eye Group, PC Past Accepting new patients

Locations

823 Main St
Hope Valley, RI 02832

17 Wells St
Ste 102
Westerly, RI 02891
Phone (401) 596-0339

17 Wells St
Ste 202
Westerly, RI 02891
Phone (401) 596-3313

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: nadia.duvilaire.p1@direct.wrhsrhodeisland.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1619914413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 MAIN ST",
            "city": "HOPE VALLEY",
            "state": "RI",
            "postal_code": "028321920",
            "telephone_number": "401-539-2461",
            "fax_number": "401-539-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 E 120TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100353602",
            "telephone_number": "212-410-7940",
            "fax_number": "212-410-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVILAIRE",
        "first_name": "NADIA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD16438",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "217621",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.