Individual provider Active NPI

Caroline Wunsch, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Providence, RI
National Provider Identifier
1629427265
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
MD16740 Issued in RI
Practice address
593 Eddy St
Apc 970
Providence, RI 02903-4923
Phone
(401) 444-3418
Fax
(401) 444-3492
NPI assigned
Jun 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD16740 RI
Addiction Medicine (Internal Medicine) Physician 207RA0401X MD16740 RI Primary

Addresses

Primary practice location

593 Eddy St
Apc 970
Providence, RI 02903-4923

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4541

Other practice location 1

164 Summit Avenue
Fain Blg, Suite 2B
Providence, RI 02906-2853
Phone (401) 793-4300

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
I20190719001855 RI Practitioner - Addiction MedicinePractitioner - Internal Medicine 6204120314 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Addiction Medicine
Education
Warren Alpert Medical School of Brown University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians
Rhode Island HospitalGroup PAC ID 8921900044, 430 clinicians

Practice addresses (Care Compare)

164 Summit Ave
Providence, RI 02906-2853
Phone (401) 793-4300

2 Dudley St Moc
Suite 375
Providence, RI 02905-3248
Phone (401) 606-8530

Hospital & facility affiliations

  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD16740RIMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Gateway Healthcare Inc CurrentSince Jun 1, 2024 Accepting new patients
Lifespan Corporation Current Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Rhode Island Hospital Past Accepting new patients
Rhode Island Hospital Past Accepting new patients

Locations

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

1516 Atwood Ave
Johnston, RI 02919
Phone (401) 463-8829

105 Bacon St
Pawtucket, RI 02860
Phone (401) 722-3560

164 Summit Ave
Ste 2B
Providence, RI 02906
Phone (401) 793-3376

593 Eddy St
#970
Providence, RI 02903
Phone (401) 444-2128

245 Chapman St
Ste 300
Providence, RI 02905
Phone (401) 444-4741

110 Elm St
Providence, RI 02903
Phone (401) 443-4992

593 Eddy St
#921
Providence, RI 02903
Phone (401) 444-3250

593 Eddy St
Providence, RI 02903

1125 N Main St
Providence, RI 02904
Phone (401) 793-2928

1 Virginia Ave
Ste 200
Providence, RI 02905

200 Corliss St
#1
Providence, RI 02904
Phone (401) 606-8530

593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280

2 Dudley St
Ste 375
Providence, RI 02905
Phone (401) 606-8530

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

375 Wampanoag Trl
Riverside, RI 02915
Phone (401) 649-4010

Interoperability endpoints

  • Direct secure messaging: cwunsch239077@direct.ochin.org
  • Direct secure messaging: cwunsch188758@brownhealth.medalliesdirect.net

Organizations & group practices 7

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 5

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": "1465084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1629427265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ELLENFIELD ST STE 101",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "address_2": "APC 970",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-3418",
            "fax_number": "401-444-3492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "164 Summit Avenue",
            "address_2": "Fain Blg, Suite 2B",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029062853",
            "country_code": "US",
            "telephone_number": "401-793-4300",
            "fax_number": "401-793-4312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WUNSCH",
        "first_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD16740",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "RI",
            "license": "MD16740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.