Organization Active NPI

Michael E. Klufas, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Cumberland, RI
National Provider Identifier
1699975920
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
6939 Issued in RI
Legal business name
MICHAEL E. KLUFAS, MD
Practice address
525 Broad St
Suite 103
Cumberland, RI 02864-6919
Phone
(401) 726-1048
Fax
(401) 724-0896
NPI assigned
Jul 24, 2007
Last updated
Apr 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Authorized official

Name
Michael E Klufas, MDNPI 1205822277
Title
Physician/Owner
Phone
(401) 726-1048

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 6939 RI Primary

Addresses

Primary practice location

525 Broad St
Suite 103
Cumberland, RI 02864-6919

Mailing address

525 Broad St
Suite 103
Cumberland, RI 02864-6919
Phone (401) 726-1048

Other identifiers 3

IdentifierTypeStateIssuer
202292OtherRIBLUECHIP
9000376OtherRIMEDICAID
MK35773MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100121000571 RI Part B Supplier - Clinic/Group Practice 7214079706 Receives reassigned benefits from 2 practitioners
Practice locations: Cumberland, RI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
41D0082806Michael E Klufas MD525 Broad St, Cumberland, RI 02864Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1699975920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 BROAD ST",
            "address_2": "SUITE 103",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028646919",
            "telephone_number": "401-726-1048",
            "fax_number": "401-724-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 BROAD ST",
            "address_2": "SUITE 103",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028646919",
            "telephone_number": "401-726-1048",
            "fax_number": "401-724-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E. KLUFAS, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "KLUFAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "401-726-1048",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "RI",
            "license": "6939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP",
            "identifier": "202292",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "9000376",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MK35773",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.