Individual provider Active NPI

Victoria Lee Comeau, DO

  • Dermatology Physician
  • Middletown, RI
National Provider Identifier
1699204784
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
DO01026 Issued in RI
Practice address
102 Valley Rd
Middletown, RI 02842-5237
Phone
(401) 239-1800
Fax
(401) 239-1801
NPI assigned
Jun 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X DO01026 RI Primary

Addresses

Primary practice location

102 Valley Rd
Middletown, RI 02842-5237

Mailing address

102 Valley Rd
Middletown, RI 02842-5237
Phone (401) 239-1800

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200616000643 RI Practitioner - Dermatology 7113349473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspire Dermatology LLCGroup PAC ID 1759550643, 24 clinicians

Practice addresses (Care Compare)

102 Valley Rd
Middletown, RI 02842-5237
Phone (401) 239-1800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.23 of 100Reported as group
Quality
95.87
Promoting interoperability
100
Improvement activities
40
Cost
71.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision36
Removal of skin lesions1198
Removal or shaving of skin growth95
Skin biopsy525

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO01026RIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Dermatology LLC CurrentSince Jul 1, 2020 Accepting new patients
Southcoast Physicians Group, Inc. PastSince Jun 21, 2020 Accepting new patients

Locations

2435 Nooseneck Hill Rd
Unit 1A
Coventry, RI 02816
Phone (401) 239-1800

2138 Mendon Rd
Ste 201
Cumberland, RI 02864
Phone (401) 305-5757

1524 Atwood Ave
Ste 321
Johnston, RI 02919
Phone (401) 239-1800

1525 Wampanoag Trl
Ste 203
Riverside, RI 02915
Phone (401) 239-1800

67 William S Canning Blvd
Tiverton, RI 02878
Phone (401) 239-1800

851 Main St
Warren, RI 02885
Phone (401) 247-1000

618 Toll Gate Rd
Warwick, RI 02886
Phone (401) 239-1800

Interoperability endpoints

  • Direct secure messaging: victoriacomeau@aspire.emadirect.md
  • FHIR API: https://aspire.mmi.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 2

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 3

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": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1699204784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 VALLEY RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425237",
            "telephone_number": "401-239-1800",
            "fax_number": "401-239-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 VALLEY RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425237",
            "telephone_number": "401-239-1800",
            "fax_number": "401-239-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMEAU",
        "first_name": "VICTORIA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "RI",
            "license": "DO01026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, RI

Sources for this page

Verify at the official NPI Registry.