NPIMap

Individual provider Active NPI

Scott A Wilson, M.D.

  • Internal Medicine Physician
  • Cumberland, RI
National Provider Identifier
1619974672
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD10225 Issued in RI
Practice address
106 Nate Whipple Hwy
Cumberland, RI 02864-1403
Phone
(401) 658-2020
Fax
(401) 658-3612
NPI assigned
Jul 6, 2005
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD10225 RI Primary

Addresses

Primary practice location

106 Nate Whipple Hwy
Cumberland, RI 02864-1403

Mailing address

106 Nate Whipple Hwy Ste 101
Cumberland, RI 02864-1403
Phone (401) 658-2020

Other identifiers 1

IdentifierTypeStateIssuer
7008327MedicaidRI

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
I20080422000854 RI Practitioner - Internal Medicine 4284531658 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Warren Alpert Medical School of Brown University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
VMD Primary Providers of Rhode Island PCGroup PAC ID 3072913714, 51 clinicians

Practice addresses (Care Compare)

106 Nate Whipple Hwy
Suite 101
Cumberland, RI 02864-1403
Phone 40165820201403

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD10225RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers of Rhode Island PC Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients
Prospect Chartercare Physicians, LLC Internal Medicine CurrentSince Dec 19, 2014 Accepting new patients
Ocean State Urgent Care Center of North Providence, LLC Internal Medicine PastSince Oct 13, 2017 Accepting new patients
Ocean State Primary Care Center of East Providence Inc PastSince Jan 8, 2018 Accepting new patients
Omni Medical Diagnostics PastSince Sep 1, 2007 Accepting new patients

Locations

1681 Cranston St
Cranston, RI 02920
Phone (401) 944-6889

106 Nate Whipple Hwy
Cumberland, RI 02864
Phone (401) 568-2020

106 Nate Whipple Hwy
Ste 101
Cumberland, RI 02864
Phone (401) 658-1197

2140 Mendon Rd
Cumberland, RI 02864
Phone (401) 334-9630

174 Armistice Blvd
Ste A
Pawtucket, RI 02860
Phone (401) 753-0500

21 Peace St
Providence, RI 02907
Phone (401) 456-3000

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

400 Putnam Pike
Smithfield, RI 02917
Phone (401) 232-7001

Interoperability endpoints

  • Direct secure messaging: scott.wilson.1@31278.direct.athenahealth.com

Organizations & group practices 6

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1619974672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 NATE WHIPPLE HWY STE 101",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028641403",
            "telephone_number": "401-658-2020",
            "fax_number": "401-658-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 NATE WHIPPLE HWY",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028641403",
            "telephone_number": "401-658-2020",
            "fax_number": "401-658-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SCOTT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD10225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7008327",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, RI

Sources for this page

Verify at the official NPI Registry.