Individual provider Active NPI

Thomas J Seery, MD

  • Pediatric Cardiology Physician
  • Providence, RI
National Provider Identifier
1639198096
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
MD19334 Issued in RI
Practice address
1 Hoppin St Ste 304
Providence, RI 02903-4141
Phone
(401) 444-4612
Fax
(401) 793-8831
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X P3581 TX
Pediatric Cardiology Physician 2080P0202X P3581 TX
Pediatric Cardiology Physician 2080P0202X MD19334 RI Primary

Addresses

Primary practice location

1 Hoppin St Ste 304
Providence, RI 02903-4141

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4541

Other practice location 1

6701 Fannin St
Houston, TX 77030-2608
Phone (832) 824-1000

Other practice location 2

101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1122

Other practice location 3

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, RI, MA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120809000924 TX Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 3274719257 Reassigns benefits to 3 organizations
I20230707001056 RI Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 3274719257 Reassigns benefits to 4 organizations
I20231116003437 MA Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 3274719257 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P3581TXMDPediatrics Physician
MD19334RIMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Hospital CurrentSince Aug 1, 2023 Accepting new patients
Newport Hospital CurrentSince Feb 24, 2024 Accepting new patients
Rhode Island Hospital Pediatrics CurrentSince Aug 1, 2023 Accepting new patients
Baylor College of Medicine CurrentSince Jul 1, 2012 Accepting new patients
Baylor College of Medicine Pediatrics CurrentSince Aug 30, 2014 Accepting new patients
Texas Children's Physician Group Pediatrics CurrentSince Apr 28, 2022 Accepting new patients
Newport Hospital CurrentSince Feb 24, 2024 Accepting new patients
Newport Hospital Pediatrics Current Accepting new patients
Lifespan Corporation Current Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Oct 9, 2023 Accepting new patients
Baylor College of Medicine CurrentSince Jul 1, 2012 Accepting new patients
Lifespan Physician Group, Inc. Pediatrics CurrentSince Oct 9, 2023 Accepting new patients
Affinity Physicians LLC. Pediatrics CurrentSince Aug 1, 2023 Accepting new patients
Affinity Physicians LLC CurrentSince Aug 1, 2023 Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients
Rhode Island Hospital Past Accepting new patients
Upmc Western Maryland Health Services, LLC Past Accepting new patients

Locations

152 Emory St
Attleboro, MA 02703
Phone (508) 222-6409

10 N Main St
Ste 2C
Fall River, MA 02720
Phone (508) 564-3923

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

1 Commerce St
Ste 200
Lincoln, RI 02865
Phone (401) 793-8500

701 George Washington Hwy
Ste 104
Lincoln, RI 02865
Phone (401) 444-8311

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

593 Eddy St
Ste 5
Providence, RI 02903
Phone (401) 444-3996

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

101 Dudley St
Providence, RI 02905
Phone (401) 453-7950

1 Hoppin St
Ste 304
Providence, RI 02903
Phone (401) 444-4612

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

1102 Bates Ave
#1450
Houston, TX 77030

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

2 Greenway Plz
Ste 300
Houston, TX 77046
Phone (832) 828-3603

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000

Interoperability endpoints

  • Direct secure messaging: tseery218683@brownhealth.medalliesdirect.net

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1639198096",
    "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": "1 HOPPIN ST STE 304",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034141",
            "telephone_number": "401-444-4612",
            "fax_number": "401-793-8831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6701 Fannin St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302608",
            "country_code": "US",
            "telephone_number": "832-824-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Dudley St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029052401",
            "country_code": "US",
            "telephone_number": "401-274-1122",
            "fax_number": "401-453-7571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Toll Gate Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028862759",
            "country_code": "US",
            "telephone_number": "401-737-7000",
            "fax_number": "401-736-4546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEERY",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P3581",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "P3581",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "RI",
            "license": "MD19334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.