NPIMap

Individual provider Active NPI

Mary Louise Giovetti, M.D.

  • Family Medicine Physician
  • Pascoag, RI
National Provider Identifier
1720180367
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RI7491 Issued in RI
Practice address
36 Bridge Way
Pascoag, RI 02859-3131
Phone
(401) 568-7661
Fax
(401) 568-7949
NPI assigned
Sep 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RI7491 RI Primary

Addresses

Primary practice location

36 Bridge Way
Pascoag, RI 02859-3131

Mailing address

36 The Bridgeway
Northwest Health Center
Pascoag, RI 02859
Phone (401) 568-7661

Other identifiers 7

IdentifierTypeStateIssuer
004121OtherRIBCHIP
0100391OtherRIUNITED HEALTH
27082OtherRIBCBS
411814OtherRIMEDICARE GROUP NUMBER
7001348MedicaidRI
AA34892OtherRIHARVARD PILGRIM
01150OtherRINEIGHBORHOOD HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050309000003 RI Practitioner - Family Practice 8224082680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Community Health CareGroup PAC ID 1355250663, 35 clinicians

Practice addresses (Care Compare)

36 Bridge Way
Pascoag, RI 02859-3131
Phone (401) 567-0800

Hospital & facility affiliations

  • Nursing Placement Home Health Care Services Home health agency, Pawtucket, RI, CCN 417055
  • Elara Caring Home health agency, Warwick, RI, CCN 417035
  • Hopehealth Hospice & Palliative Care Hospice, Providence, RI, CCN 411500
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Landmark Medical Center Hospital, Woonsocket, RI, CCN 410011
  • Our Lady of Fatima Hospital Hospital, North Providence, RI, CCN 410005
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RI7491RIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Community Health Care CurrentSince Jan 1, 2004 Accepting new patients
Northwest Community Health Care CurrentSince Jan 1, 2004 Accepting new patients
Northwest Community Health Care Past Accepting new patients

Locations

36 Bridge Way
Pascoag, RI 02859
Phone (401) 567-0800

Organizations & group practices 3

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252022400000",
    "number": "1720180367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 THE BRIDGEWAY",
            "address_2": "NORTHWEST HEALTH CENTER",
            "city": "PASCOAG",
            "state": "RI",
            "postal_code": "02859",
            "telephone_number": "401-568-7661",
            "fax_number": "401-568-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 BRIDGE WAY",
            "city": "PASCOAG",
            "state": "RI",
            "postal_code": "028593131",
            "telephone_number": "401-568-7661",
            "fax_number": "401-568-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOVETTI",
        "first_name": "MARY",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-03",
        "last_updated": "2009-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "RI7491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCHIP",
            "identifier": "004121",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "0100391",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "27082",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "411814",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7001348",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA34892",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "01150",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascoag, RI

Sources for this page

Verify at the official NPI Registry.