Active NPI
Mark Schwager, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Coventry, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 06946
- 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, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9006624 | Medicaid | RI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 06946 | RI | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chartercare Physicians, LLC | Current | Accepting new patients | |
| Prospect Chartercare Physicians, LLC | Current | 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.
-
dba CharterCARE Medical Associates
- Internal Medicine Physician
- Cranston, RI
- NPI 1629493135
-
dba CharterCare Medical Associates
- Internal Medicine Physician
- Cranston, RI
- NPI 1235945650
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.