Active NPI
Erik Gunnar Enquist, MD
- Urology Physician
- Westerly, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 10831
- Practice address
- 35 Wells St
Westerly, RI 02891-2922 - Phone
- (401) 596-0964
- Fax
- (401) 596-8634
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 10831 | RI | Primary |
| Urology Physician | 208800000X | 040289 | CT |
Addresses
Primary practice location
35 Wells St
Westerly, RI 02891-2922
Mailing address
35 Wells St
Westerly, RI 02891-2922
Phone (401) 596-0964
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003114204 | Medicaid | CT | |
| 7009864 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040714001016 | RI | Practitioner - Urology | 0749269751 | Reassigns benefits to 1 organization |
| I20111209000792 | CT | Practitioner - Urology | 0749269751 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Colorado School of Medicine, Denver, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Northeast Medical Group Inc
Practice addresses (Care Compare)
35 Wells St
Unit 1
Westerly, RI 02891-2962
Phone (401) 596-7736
365 Montauk Ave
New London, CT 06320-4700
Phone (860) 444-3735
Hospital & facility affiliations
- Westerly Hospital
- Lawrence & Memorial Hospital
- South County Hospital Inc
- Yale-New Haven Hospital
- William W Backus Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 86.54
- Promoting interoperability
- 99.98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| Mill Hill Medical Consultants Inc | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients |
Locations
23 Clara Dr
Mystic, CT 06355
Phone (860) 443-7907
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610
365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
35 Wells St
Unit 1
Westerly, RI 02891
Phone (401) 596-0550
45 East Ave
Westerly, RI 02891
Phone (401) 596-6000
35 Wells St
Westerly, RI 02891
Phone (401) 596-0964
35 Wells St
Unit 3
Westerly, RI 02891
Phone (401) 315-9575
Interoperability endpoints
- eenquist329823@direct.ynhh.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.
-
- Hospitalist Physician
- Greenwich, CT
- NPI 1841520293
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wakefield, RI
- NPI 1952366106
Hospital
-
- General Acute Care Hospital
- New London, CT
- NPI 1073530879
Hospital
-
- General Acute Care Hospital
- New London, CT
- NPI 1700092459
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209081600000",
"number": "1619963535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 WELLS ST",
"city": "WESTERLY",
"state": "RI",
"postal_code": "028912922",
"telephone_number": "401-596-0964",
"fax_number": "401-596-8634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 WELLS ST",
"city": "WESTERLY",
"state": "RI",
"postal_code": "028912922",
"telephone_number": "401-596-0964",
"fax_number": "401-596-8634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENQUIST",
"first_name": "ERIK",
"middle_name": "GUNNAR",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2008-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "RI",
"license": "10831",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CT",
"license": "040289",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003114204",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7009864",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westerly, RI
- Jonathan Diment Eckel Jr., PA-C
- Sanford Edwards, MD
- Mouhanad M El Othmani, MD
- Ahmed Elshazly, MD
- Emergency Medicine Physicians of Washington County, LLC
- ENT Associates of Westerly, LTD.
- Helen Estrella, LMHC
- Evolution Physical Therapy and Wellness Center LLC
- F I X'D Health Care
- Marian McCaslin Faller, LICSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.