Individual provider Active NPI

Erik Gunnar Enquist, MD

  • Urology Physician
  • Westerly, RI
National Provider Identifier
1619963535
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
10831 Issued in RI
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

Updated by the provider on Apr 25, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
003114204MedicaidCT
7009864MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CT2 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 2

Enrollment IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 1254233836, 1,357 clinicians

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 Hospital, Westerly, RI, CCN 410013
  • Lawrence & Memorial Hospital Hospital, New London, CT, CCN 070007
  • South County Hospital Inc Hospital, Wakefield, RI, CCN 410008
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
  • William W Backus Hospital Hospital, Norwich, CT, CCN 070024

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Dec 1, 2018 Accepting new patients
Yale University CurrentSince Mar 16, 2019 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Jul 1, 2021 Accepting new patients
Yale University CurrentSince Mar 16, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 9

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": "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

Sources for this page

Verify at the official NPI Registry.