Active NPI
Vera A. Depalo, MD
- Pulmonary Disease Physician
- Cranston, RI
National Provider Identifier
1659354546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD08654
- Practice address
- 725 Reservoir Ave Ste 6a
Cranston, RI 02910 - Phone
- (401) 829-4446
- Fax
- (401) 829-4434
- NPI assigned
- Nov 23, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MD08654 | RI | Primary |
Addresses
Primary practice location
725 Reservoir Ave Ste 6a
Cranston, RI 02910
Mailing address
725 Reservoir Ave Ste 6a
Cranston, RI 02910-4450
Phone (401) 944-6889
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110087809A | Medicaid | MA | |
| 7004345 | Medicaid | RI | |
| 0070043451 | Other | RI | MEDICARE PTAN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090608000130 | RI | Practitioner - Pulmonary Disease | 6800946161 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trucare Inc
Practice addresses (Care Compare)
725 Reservoir Ave
Suite 103
Cranston, RI 02910-4451
Phone (401) 944-6889
Hospital & facility affiliations
- Hopehealth Hospice & Palliative Care
- Visiting Nurse Health and Hospice
- Roger Williams Medical Center
- Rhode Island Hospital
- John Clarke Senior Living
- Hattie Ide Chaffee Home
- St Clare Home
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD08654 | RI | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trucare Inc | Current | Accepting new patients |
Locations
725 Reservoir Ave
Ste 6A
Cranston, RI 02910
Phone (401) 942-2320
725 Reservoir Ave
Ste 103
Cranston, RI 02910
Phone (401) 829-4446
Organizations & group practices 1
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 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Riverside, RI
- NPI 1700912458
Nursing home
-
- Community Based Hospice Care Agency
- Providence, RI
- NPI 1871674796
Hospice
-
- Nursing Care Agency
- Middletown, RI
- NPI 1972587699
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1659354546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 RESERVOIR AVE STE 6A",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029104450",
"telephone_number": "401-944-6889",
"fax_number": "401-944-6726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 RESERVOIR AVE STE 6A",
"city": "CRANSTON",
"state": "RI",
"postal_code": "02910",
"telephone_number": "401-829-4446",
"fax_number": "401-829-4434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPALO",
"first_name": "VERA",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-23",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "RI",
"license": "MD08654",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110087809A",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7004345",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "0070043451",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.