Active NPI
Anthony H. Debarros, M.D.
- Diagnostic Radiology Physician
- Warwick, RI
National Provider Identifier
1699872226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD04613
- Practice address
- 455 Toll Gate Rd
Kent Hospital, Radiology Department
Warwick, RI 02886-2759 - Phone
- (401) 737-7000
- NPI assigned
- Sep 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 38964 | MA | |
| Diagnostic Radiology Physician | 2085R0202X | MD04613 | RI | Primary |
Addresses
Primary practice location
455 Toll Gate Rd
Kent Hospital, Radiology Department
Warwick, RI 02886-2759
Mailing address
PO Box 105
Dartmouth, MA 02714-0105
Phone (508) 636-6165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38964 | MA | MD | Diagnostic Radiology Physician |
| MD04613 | RI | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191974400000",
"number": "1699872226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 105",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027140105",
"telephone_number": "508-636-6165",
"fax_number": "508-636-6165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 TOLL GATE RD",
"address_2": "KENT HOSPITAL, RADIOLOGY DEPARTMENT",
"city": "WARWICK",
"state": "RI",
"postal_code": "028862759",
"telephone_number": "401-737-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBARROS",
"first_name": "ANTHONY",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-17",
"last_updated": "2007-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "38964",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "RI",
"license": "MD04613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.