NPIMap

Individual provider Active NPI

Thomas Edward Noonan, MD

  • Cardiovascular Disease Physician
  • Pawtucket, RI
National Provider Identifier
1679534572
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD09416 Issued in RI
Practice address
333 School St
Ste 112
Pawtucket, RI 02860-5335
Phone
(401) 723-1210
Fax
(401) 312-2099
NPI assigned
Mar 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD09416 RI Primary

Addresses

Primary practice location

333 School St
Ste 112
Pawtucket, RI 02860-5335

Mailing address

333 School St
Ste 112
Pawtucket, RI 02860-5335
Phone (401) 723-1210

Other identifiers 3

IdentifierTypeStateIssuer
7005916MedicaidRI
7005816MedicaidRI
A2191302OtherRIMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051004000716 MA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Other (Physician) 4688607245 Reassigns benefits to 1 organization
I20080207000159 RI Practitioner - Cardiovascular Disease (Cardiology) 4688607245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Tufts University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham and Women's Hospital Current Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince May 30, 2015 Accepting new patients
Kent County Memorial Hospital Cardiovascular Disease CurrentSince Sep 3, 2013 Accepting new patients
Kent County Memorial Hospital CurrentSince Sep 3, 2013 Accepting new patients
Affinity Physicians LLC. Cardiovascular Disease CurrentSince Jan 1, 2016 Accepting new patients
Affinity Physicians LLC CurrentSince Jan 1, 2016 Accepting new patients
Blackstone Cardiology Associates Cardiovascular Disease Past Accepting new patients
Cardiovascular Institute of New England PC Cardiovascular Disease PastSince Jan 1, 2009 Accepting new patients

Locations

221 Longwood Ave
Boston, MA 02115
Phone (617) 732-4918

75 Francis St
Boston, MA 02115

375 Boylston St
Brookline, MA 02445
Phone (508) 718-4010

6 Blackstone Valley Pl
Ste 105
Lincoln, RI 02865
Phone (401) 464-9751

333 School St
Ste 206
Pawtucket, RI 02860
Phone (401) 723-1210

333 School St
Ste 112
Pawtucket, RI 02860
Phone (401) 723-1210

111 Brewster St
Pawtucket, RI 02860
Phone (401) 729-2000

345 Blackstone Blvd
Providence, RI 02906
Phone (401) 455-6375

1 Randall Sq
Ste 305
Providence, RI 02904
Phone (401) 223-0223

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

Interoperability endpoints

  • Direct secure messaging: noonan.thomas.bwh@direct.partners.masshiway.net
  • Direct secure messaging: tnoonan@direct.carene.org

Organizations & group practices 8

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 9

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1679534572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SCHOOL ST",
            "address_2": "STE 112",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605335",
            "telephone_number": "401-723-1210",
            "fax_number": "401-312-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SCHOOL ST",
            "address_2": "STE 112",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605335",
            "telephone_number": "401-723-1210",
            "fax_number": "401-312-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOONAN",
        "first_name": "THOMAS",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "RI",
            "license": "MD09416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7005916",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7005816",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A2191302",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.