Organization Active NPI

Michael J Baccari,MD.,Inc

  • Internal Medicine Physician
  • Cranston, RI
National Provider Identifier
1679735195
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD3720 Issued in RI
Legal business name
MICHAEL J BACCARI,MD.,INC
Practice address
677 Atwood Ave
Cranston, RI 02920-5322
Phone
(401) 942-6500
Fax
(401) 942-6505
NPI assigned
Jun 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Mrs. Maryann Rianna
Title
Office Manager
Phone
(401) 942-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD3720 RI Primary

Addresses

Primary practice location

677 Atwood Ave
Cranston, RI 02920-5322

Mailing address

677 Atwood Ave
Cranston, RI 02920-5322

Other identifiers 1

IdentifierTypeStateIssuer
9000050MedicaidRI

National Provider Directory

National Provider Directory

Locations

50 Exchange Ter
Ste 320
Providence, RI 02903

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1679735195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 ATWOOD AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 ATWOOD AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205322",
            "telephone_number": "401-942-6500",
            "fax_number": "401-942-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J BACCARI,MD.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "RIANNA",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "401-942-6500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD3720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000050",
            "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 Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.