Michael C Coburn, MD

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

MD08308 Issued in RI

Practice address

1950 Tower Hill Rd
North Kingstown, RI 02852-6639

Phone

(401) 559-3954

Fax

(401) 294-4116

NPI assigned

Apr 5, 2006

Last updated

Oct 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2019 through Apr 1, 2027

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Comprehensive Addiction Treatment LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • N Kingstown, RI
  • NPI 1114430907
  NPD Authorized official
• Kent Surgical Associates, Inc.

  • Surgery Physician
  • Warwick, RI
  • NPI 1457459943
  NPD
• Adcare Rhode Island, Inc.

  • Substance Abuse Rehabilitation Facility
  • North Kingstown, RI
  • NPI 1164822474
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759536000000",
    "number": "1720040728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 TOWER HILL RD",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028526639",
            "telephone_number": "401-559-3954",
            "fax_number": "401-294-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 TOWER HILL RD",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028526639",
            "telephone_number": "401-559-3954",
            "fax_number": "401-294-4116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 Centerville Rd",
            "address_2": "Suite 15",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028864381",
            "country_code": "US",
            "telephone_number": "401-615-8500",
            "fax_number": "401-615-8503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COBURN",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2025-10-04",
        "certification_date": "2025-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "RI",
            "license": "MD08308",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "RI",
            "license": "MD08308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSRI/CHIP",
            "identifier": "005185",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004684",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSRI",
            "identifier": "838-7",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paige Clark, COTA/L
• Judith H. Clarke-Jones, LMHC, MED, MAC, NCC
• Clinical and Forensic Services, Inc.
• Linda Cloutier, LMFT
• Coastal Dental Associates II, LLC
• Miranda Coleman, PHARMD
• Elizabeth Colgan, RDN
• Kyra Collins, ATC, LAT
• Steven - Colucci, PH.D.
• Come As You Are Physical Therapy and Wellness, LLC

• Addiction Medicine (Psychiatry & Neurology) Physician in North Kingstown, RI
• Providers in North Kingstown, RI by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.