Debra Kay Filardo, M.D.
Individual provider Active NPI Pediatrics Physician · Bristol, RI
NPI 1619978624 · NPPES record last updated Jan 18, 2011
Key facts
- NPI
- 1619978624
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD 09101 (RI)
- Practice address
- 1180 Hope St
Bristol, RI 02809-1126 - Phone
- (401) 253-8900
- Fax
- (401) 253-3131
- NPI assigned
- Aug 2, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120120000611 | RI | Practitioner - Pediatric Medicine | 4688841398 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 09101 | RI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Physicians LLC | Current |
Accepting new patients | |
| Medical Associates of Ri Inc | Pediatrics | Current |
Accepting new patients |
| Affinity Physicians LLC. | Pediatrics | Current |
Accepting new patients |
Locations
1180 Hope St
Bristol, RI 02809
Phone (401) 253-8900
950 Warren Ave
East Providence, RI 02914
Phone (401) 253-8900
101 Dudley St
Providence, RI 02905
Phone (401) 453-7950
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
Interoperability endpoints
- debra.filardo@maori.eclinicaldirectplus.com
- dfilardo@wih.cernerdirect.carene.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD 09101 | RI | Yes |
Addresses
Primary practice location
1180 Hope St
Bristol, RI 02809-1126
Mailing address
1180 Hope St
Bristol, RI 02809-1126
Phone (401) 253-8900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12-00496 | Other | RI | UNITED HEALTH CARE |
| 7005333 | Medicaid | RI | |
| 0000020294 | Other | RI | B/S |
| 206515 | Other | RI | HARVARD PILGRIM HEALTH |
| 204992 | Other | RI | BCHIP |
| 3751 | Other | RI | NEIGHBORHOOH HEALTH |
| 406142 | Other | RI | TUFTS HEALTH PLAN |
Other providers in Bristol, RI
- Simon Fensterszaub
- April Fernandez
- Caleb Ferreira
- Haley Ferreira
- Jennifer Lynn Ferreira
- Bruce Evan Fischer
- Carline Leclerc Fleig
- Katie Lynn Floor
- Teresa Lynn Floyd
- Frame N Focus Inc
All providers in Bristol, RI · Pediatrics Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.