NPIMap

Individual provider Active NPI

Frank P Maggiacomo, D.O.

  • Internal Medicine Physician
  • Cranston, RI
National Provider Identifier
1629075981
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO 00383 Issued in RI
Practice address
1681 Cranston St
Suite D
Cranston, RI 02920-5000
Phone
(401) 946-8446
Fax
(401) 946-8340
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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 DO 00383 RI Primary

Addresses

Primary practice location

1681 Cranston St
Suite D
Cranston, RI 02920-5000

Mailing address

1681 Cranston St
Suite D
Cranston, RI 02920-5000
Phone (401) 946-8446

Other identifiers 1

IdentifierTypeStateIssuer
9003084MedicaidRI

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
I20100721000383 RI Practitioner - Internal Medicine 6103958517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Frank P. Maggiacomo, D.O. IncGroup PAC ID 4587609664, 2 clinicians

Practice addresses (Care Compare)

1681 Cranston St
Suite D
Cranston, RI 02920-5000
Phone (401) 946-8446

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO 00383RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frank P. Maggiacomo, D.O. Inc Internal Medicine CurrentSince May 1, 2010 Accepting new patients
Gregory G Allen Jr, D.O. Inc Internal Medicine PastSince May 1, 2010 Accepting new patients

Locations

1681 Cranston St
Ste D
Cranston, RI 02920
Phone (401) 946-8446

Organizations & group practices 2

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 7

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1629075981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1681 CRANSTON ST",
            "address_2": "SUITE D",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205000",
            "telephone_number": "401-946-8446",
            "fax_number": "401-946-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 CRANSTON ST",
            "address_2": "SUITE D",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205000",
            "telephone_number": "401-946-8446",
            "fax_number": "401-946-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGGIACOMO",
        "first_name": "FRANK",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "DO 00383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9003084",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.