Individual provider Active NPI

Stephen D Groskin, MD

  • Family Medicine Physician
  • Tiverton, RI
National Provider Identifier
1629045646
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD12295 Issued in RI
Practice address
546 Main Road
Prima Care, PC
Tiverton, RI 02878-1350
Phone
(401) 816-5110
Fax
(401) 816-5480
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD12295 RI Primary

Addresses

Primary practice location

546 Main Road
Prima Care, PC
Tiverton, RI 02878-1350

Mailing address

PO Box 1070
Prima Care, PC
Fall River, MA 02722-1070
Phone (508) 676-3292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070716000689 RI Practitioner - Family Practice 9234191198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York at Buffalo School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prima Care, PCGroup PAC ID 2567356017, 222 clinicians

Practice addresses (Care Compare)

19 Friendship St
Unit 150
Newport, RI 02840-2200
Phone (401) 849-3791

821 Main Rd
Tiverton, RI 02878-1334
Phone (401) 625-1001

Hospital & facility affiliations

  • Visiting Nurse Home and Hospice Home health agency, Middleton, RI, CCN 417000
  • Saint Anne'S Hospital Hospital, Fall River, MA, CCN 220020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD12295RIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Care, PC CurrentSince Jul 1, 2016 Accepting new patients
Prima Care, PC CurrentSince Jul 1, 2016 Accepting new patients
Champlain Valley Urgent Care, PC Past Accepting new patients

Locations

277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244

19 Friendship St
Unit 150
Newport, RI 02840
Phone (401) 848-6042

546 Main Rd
Tiverton, RI 02878
Phone (401) 624-8200

Interoperability endpoints

  • Direct secure messaging: stephen.groskin@prima.eclinicaldirectplus.com

Organizations & group practices 3

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 2

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1629045646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1070",
            "address_2": "PRIMA CARE, PC",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027221070",
            "telephone_number": "508-676-3292",
            "fax_number": "508-672-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 MAIN ROAD",
            "address_2": "PRIMA CARE, PC",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028781350",
            "telephone_number": "401-816-5110",
            "fax_number": "401-816-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSKIN",
        "first_name": "STEPHEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD12295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiverton, RI

Sources for this page

Verify at the official NPI Registry.