Individual provider Active NPI

Daniel L Druckman, MD

  • Diagnostic Radiology Physician
  • Warwick, RI
National Provider Identifier
1710095096
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD07800 Issued in RI
Practice address
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone
(401) 737-7010
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD07800 RI Primary
Diagnostic Radiology Physician 2085R0202X 75574 MA

Addresses

Primary practice location

455 Toll Gate Rd
Warwick, RI 02886-2759

Mailing address

125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785
Phone (401) 921-9202

Other practice location 1

115 Cass Ave
Hospital Based - Landmark Medical Center
Woonsocket, RI 02895
Phone (401) 769-4100

Other practice location 2

211 Park St
Attleboro, MA 02703-3143
Phone (508) 222-5200

Other identifiers 8

IdentifierTypeStateIssuer
004204OtherRIBLUECHIP
792524OtherTUFTS
245925OtherPILGRIM
3153193OtherMASS WELFARE
7000656MedicaidRI
3412OtherRIGROUP BLUE SHIELD
31237OtherNEIGHBORHOOD HEALTH GROUP
75574OtherMASS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041129000004 RI Practitioner - Diagnostic Radiology 3779548482 Reassigns benefits to 3 organizations
I20241104003223 MA Practitioner - Diagnostic Radiology 3779548482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Ri, Inc.Group PAC ID 3375432040, 32 clinicians
Prima Care, PCGroup PAC ID 2567356017, shared by 5 NPIs, 222 clinicians

Practice addresses (Care Compare)

1180 Hope St
Bristol, RI 02809-1126
Phone (401) 253-8900

289 Pleasant St
Fall River, MA 02721-3005
Phone (508) 674-0600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75574MAMDDiagnostic Radiology Physician
MD07800RIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Gastroenterology, LLC CurrentSince Nov 1, 2020 Accepting new patients
Medical Associates of Ri Inc CurrentSince Jan 1, 2006 Accepting new patients
Prima Care, PC CurrentSince Dec 2, 2024 Accepting new patients
Prima Care, PC CurrentSince Dec 2, 2024 Accepting new patients
Rhode Island Pet Services, LLC CurrentSince May 5, 2004 Accepting new patients
Rhode Island Medical Imaging Inc Diagnostic Radiology CurrentSince Jul 3, 2022 Accepting new patients
Bristol County Open MRI Services Inc. Diagnostic Radiology PastSince Jun 1, 2001 Accepting new patients
Northwestern Ri Imaging Center, LLC Diagnostic Radiology Past Accepting new patients

Locations

289 Pleasant St
Ste 101
Fall River, MA 02721
Phone (508) 674-0600

277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244

60 Messenger St
Plainville, MA 02762
Phone (508) 695-0055

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200

1180 Hope St
Bristol, RI 02809
Phone (401) 253-8900

65 Sockanosset Cross Rd
Cranston, RI 02920
Phone (401) 886-4872

450 Veterans Memorial Pkwy
Bldg 2
East Providence, RI 02914
Phone (401) 435-3041

33 Staniford St
Providence, RI 02905
Phone (401) 274-1810

1 Randall Sq
Providence, RI 02904
Phone (401) 272-5500

1524 Atwood Ave
Providence, RI 02919
Phone (401) 272-2110

125 Metro Center Blvd
Ste 2000
Warwick, RI 02886
Phone (401) 432-2520

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1710095096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 METRO CENTER BLVD STE 2000",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861785",
            "telephone_number": "401-921-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862759",
            "telephone_number": "401-737-7010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Cass Ave",
            "address_2": "Hospital Based - Landmark Medical Center",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "02895",
            "country_code": "US",
            "telephone_number": "401-769-4100",
            "fax_number": "401-767-1631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 Park St",
            "address_purpose": "LOCATION",
            "city": "Attleboro",
            "state": "MA",
            "postal_code": "027033143",
            "country_code": "US",
            "telephone_number": "508-222-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRUCKMAN",
        "first_name": "DANIEL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "MD07800",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "75574",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP",
            "identifier": "004204",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "792524",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PILGRIM",
            "identifier": "245925",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS WELFARE",
            "identifier": "3153193",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000656",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BLUE SHIELD",
            "identifier": "3412",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH GROUP",
            "identifier": "31237",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS LICENSE",
            "identifier": "75574",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.