Active NPI
Douglas F Emery, MD
- Specialist
- Providence, RI
National Provider Identifier
1720072549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD09850
- Practice address
- 148 W River St
Suite 2a
Providence, RI 02904-2615 - Phone
- (401) 728-0140
- Fax
- (401) 727-1979
- NPI assigned
- Sep 8, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MD09850 | RI | Primary |
Addresses
Primary practice location
148 W River St
Suite 2a
Providence, RI 02904-2615
Mailing address
148 W River St
Suite 2a
Providence, RI 02904-2615
Phone (401) 728-0140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9020629 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- State University of Ny Upstate Medical University, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
148 W River St
Suite 2a
Providence, RI 02904-2615
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493769600000",
"number": "1720072549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 W RIVER ST",
"address_2": "SUITE 2A",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029042615",
"telephone_number": "401-728-0140",
"fax_number": "401-727-1979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 W RIVER ST",
"address_2": "SUITE 2A",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029042615",
"telephone_number": "401-728-0140",
"fax_number": "401-727-1979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERY",
"first_name": "DOUGLAS",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-08",
"last_updated": "2017-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "RI",
"license": "MD09850",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9020629",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
- Embracing Tomorrow Therapeutic Services LLC
- Emdr & Somatic Psychotherapies of Rhode Island
- Emdr & Somatic Psychotherapies of Rhode Island
- Emergency Medicine Physicians of Providence County, LLC
- Emerging Energy Acupuncture, LLC
- Rinchen-Tzo Emgushov, MD
- Brent Jonathan Emigh, MD
- Aleksandra Emmanuel, DDS
- Christine M. Emmick, MD
- Empowering Road, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.