Active NPI
John Michael Corsi, DO
- Internal Medicine Physician
- Smithfield, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DO371
- Practice address
- 28 Cedar Swamp Rd
Smithfield, RI 02917 - Phone
- (401) 232-3688
- Fax
- (401) 231-1140
- NPI assigned
- Aug 11, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DO371 | RI | Primary |
Addresses
Primary practice location
28 Cedar Swamp Rd
Smithfield, RI 02917
Mailing address
28 Cedar Swamp Rd
Smithfield, RI 02917
Phone (401) 232-3688
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30593 | Other | RI | BLUE CROSS |
| 9003059 | Medicaid | RI | |
| 404261 | Other | TUFTS | |
| 0400393 | Other | RI | UNITED HEALTH |
| 004174 | Other | BLUE CHIP | |
| R002614 | Other | CHAMPUS | |
| 0450860001 | Other | CIGNA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1681 Cranston St
Cranston, RI 02920-5000
Phone (401) 944-6889
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO371 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chartercare Physicians, LLC | Internal Medicine | Current | Accepting new patients |
| Prospect Chartercare Physicians, LLC | Internal Medicine | Current | Accepting new patients |
| The Miriam Hospital | Past | Accepting new patients |
Locations
1681 Cranston St
Cranston, RI 02920
Phone (401) 944-6889
825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000
501 Wampanoag Trl
Unit 2
Riverside, RI 02915
Phone (401) 435-3327
41 Sanderson Rd
Ste 206
Smithfield, RI 02917
Phone (401) 349-2203
Interoperability endpoints
- john.corsi.1@9000.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CharterCARE Medical Associates
- Internal Medicine Physician
- Cranston, RI
- NPI 1629493135
-
dba CharterCare Medical Associates
- Internal Medicine Physician
- Cranston, RI
- NPI 1235945650
-
- Cardiac Rehabilitation Clinic/Center
- East Greenwich, RI
- NPI 1518482389
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- West Warwick, RI
- NPI 1164948220
-
dba Our Lady of Fatima Hospital
- General Acute Care Hospital
- North Providence, RI
- NPI 1871918870
-
dba Amedisys Home Health Care
- Home Health Agency
- Warwick, RI
- NPI 1770537854
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689685042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 CEDAR SWAMP RD",
"city": "SMITHFIELD",
"state": "RI",
"postal_code": "02917",
"telephone_number": "401-232-3688",
"fax_number": "401-231-1140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 CEDAR SWAMP RD",
"city": "SMITHFIELD",
"state": "RI",
"postal_code": "02917",
"telephone_number": "401-232-3688",
"fax_number": "401-231-1140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORSI",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "DO371",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "30593",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9003059",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "404261",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH",
"identifier": "0400393",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "004174",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "R002614",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0450860001",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Smithfield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.