Individual provider Active NPI

Mark Schwager, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Coventry, RI
National Provider Identifier
1710939426
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
06946 Issued in RI
Practice address
10 Woodland Dr
Coventry, RI 02816-6716
Phone
(401) 524-2344
Fax
(610) 347-4968
NPI assigned
May 17, 2006
Last updated
May 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 06946 RI Primary

Addresses

Primary practice location

10 Woodland Dr
Coventry, RI 02816-6716

Mailing address

10 Woodland Dr
Coventry, RI 02816-6716
Phone (401) 524-2344

Other practice location 1

375 Wampanoag Trl Ste 102
Riverside, RI 02915-2233
Phone (401) 649-4010

Other identifiers 1

IdentifierTypeStateIssuer
9006624MedicaidRI

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
I20140521000662 RI Practitioner - Geriatric MedicinePractitioner - Internal Medicine 6901844943 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prospect Chartercare Physicians LLCGroup PAC ID 0840416657, 71 clinicians

Practice addresses (Care Compare)

1500 Pontiac Ave
Suite 101
Cranston, RI 02920-4486
Phone (401) 944-4300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
06946RIMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chartercare Physicians, LLC CurrentSince May 28, 2025 Accepting new patients
Prospect Chartercare Physicians, LLC CurrentSince Jan 1, 2017 Accepting new patients

Locations

1500 Pontiac Ave
Ste 101
Cranston, RI 02920
Phone (401) 371-0223

1681 Cranston St
Cranston, RI 02920
Phone (401) 944-6889

50 Maude St
Providence, RI 02908
Phone (401) 456-2200

50 Maude St
Ste 4
Providence, RI 02908

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

877 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2145

501 Wampanoag Trl
Unit 2
Riverside, RI 02915
Phone (401) 435-3327

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1710939426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WOODLAND DR",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028166716",
            "telephone_number": "401-524-2344",
            "fax_number": "610-347-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WOODLAND DR",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028166716",
            "telephone_number": "401-524-2344",
            "fax_number": "610-347-4968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 Wampanoag Trl Ste 102",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "RI",
            "postal_code": "029152233",
            "country_code": "US",
            "telephone_number": "401-649-4010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWAGER",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "RI",
            "license": "06946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9006624",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coventry, RI

Sources for this page

Verify at the official NPI Registry.