NPIMap

Individual provider Active NPI

Thomas Nicholas Carruthers, MD

  • Vascular Surgery Physician
  • Providence, RI
National Provider Identifier
1720206568
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD13705 Issued in RI
Practice address
195 Collyer St Ste 302
Providence, RI 02904-1869
Phone
(401) 793-7632
Fax
(401) 793-5171
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X LP00868 RI
Surgery Physician 208600000X MD13705 RI
Vascular Surgery Physician 2086S0129X 252777 MA
Vascular Surgery Physician 2086S0129X MD13705 RI Primary

Addresses

Primary practice location

195 Collyer St Ste 302
Providence, RI 02904-1869

Mailing address

PO Box 16149
Rumford, RI 02916-0697
Phone (404) 453-9625

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Nicholas.Carruthers.usasurg@direct-address.net Direct

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
I20110823000100 RI Practitioner - Vascular Surgery 9335319748 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of North Carolina at Chapel Hill School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Miriam HospitalGroup PAC ID 6901796408, 178 clinicians
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians
University Surgical Associates, Inc.Group PAC ID 4082503032, 105 clinicians
Rhode Island HospitalGroup PAC ID 8921900044, 430 clinicians

Practice addresses (Care Compare)

164 Summit Ave
Providence, RI 02906-2853
Phone (401) 274-3700

195 Collyer St
Suite 302
Providence, RI 02904-1869
Phone (401) 272-1800

593 Eddy St
Providence, RI 02903-4923

950 Warren Ave
Suite 103
East Providence, RI 02914-1432
Phone (401) 606-4325

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Warwick, RI, CCN 417036
  • Bayada Home Health Care Inc Home health agency, Providence, RI, CCN 417057
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue430
Removal of skin lesions17
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP00868RIMDSurgery Physician
252777MAMDVascular Surgery Physician
MD13705RIMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Miriam Hospital CurrentSince Jul 8, 2014 Accepting new patients
University Surgical Associates, Inc. Surgery CurrentSince Jul 6, 2011 Accepting new patients
Lifespan Corporation Current Accepting new patients
Rhode Island Hospital Current Accepting new patients
Rhode Island Hospital CurrentSince Jan 1, 2019 Accepting new patients
The Miriam Hospital CurrentSince Jul 8, 2014 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Lifespan Physician Group, Inc. Surgery CurrentSince Dec 1, 2025 Accepting new patients
Rhode Island Hospital Past Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients

Locations

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

950 Warren Ave
Ste 103
East Providence, RI 02914
Phone (401) 606-4325

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

2 Dudley St
Ste 470
Providence, RI 02905
Phone (401) 274-7546

195 Collyer St
Ste 302
Providence, RI 02904
Phone (401) 793-5140

900 Douglas Pike
Ste B1
Smithfield, RI 02917
Phone (401) 725-4888

Interoperability endpoints

  • Direct secure messaging: nicholas.carruthers.usasurg@direct-address.net
  • Direct secure messaging: tcarruthers5481@brownhealth.medalliesdirect.net

Organizations & group practices 10

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 7

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1720206568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16149",
            "city": "RUMFORD",
            "state": "RI",
            "postal_code": "029160697",
            "telephone_number": "404-453-9625",
            "fax_number": "401-435-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 COLLYER ST STE 302",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041869",
            "telephone_number": "401-793-7632",
            "fax_number": "401-793-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRUTHERS",
        "first_name": "THOMAS",
        "middle_name": "NICHOLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "RI",
            "license": "LP00868",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "RI",
            "license": "MD13705",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MA",
            "license": "252777",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "RI",
            "license": "MD13705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Nicholas.Carruthers.usasurg@direct-address.net",
            "affiliation": "N",
            "endpointDescription": "Direct",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "195 Collyer St Ste 302",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029041869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.