Individual provider Active NPI

David A Marcoux, M.D.

  • Internal Medicine Physician
  • Pawtucket, RI
National Provider Identifier
1730140864
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD07976 Issued in RI
Practice address
407 East Ave Ste 110
Pawtucket, RI 02860-5299
Phone
(401) 725-4739
Fax
(401) 725-4740
NPI assigned
Mar 29, 2006
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD07976 RI Primary

Addresses

Primary practice location

407 East Ave Ste 110
Pawtucket, RI 02860-5299

Mailing address

407 East Ave Ste 110
Pawtucket, RI 02860-5299
Phone (401) 725-4739

Other practice location 1

245 Chapman St Ste 300
Providence, RI 02905-4539
Phone (401) 444-5280

Other identifiers 11

IdentifierTypeStateIssuer
2973OtherNEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND
04-07275OtherRIUNITEDHEALTHCARE
406226OtherRITUFTS
21726-4OtherRIBLUE SHIELD OF RI ID#
5117244OtherRIAETNA
AA34962OtherHARVARD PILGRIM HEALTH CARE
0140182004OtherRICIGNA
202696OtherRIBLUECHIP
1730140864OtherRICHAMPUS
202696OtherRIBLUE CHIP OF RHODE ISLAND
7002341MedicaidRI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clinical@uim.directbygreenway.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090826000075 RI Practitioner - Internal Medicine 2668367491 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Wisconsin, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rhode Island HospitalGroup PAC ID 8921900044, 430 clinicians
Brown MedicineGroup PAC ID 0446159776, 220 clinicians
University Internal Medicine,IncGroup PAC ID 0345275491, 6 clinicians

Practice addresses (Care Compare)

245 Chapman St
Suite 300
Providence, RI 02905-4539
Phone (401) 444-5280

375 Wampanoag TRL
Riverside, RI 02915-2232
Phone (401) 649-4010

407 E Ave
Suite 120
Pawtucket, RI 02860-5299
Phone (401) 725-4700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions15
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD07976RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical Physicians, Inc. Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients
Brown Medicine Internal Medicine CurrentSince May 1, 2003 Accepting new patients
Rhode Island Hospital CurrentSince Sep 13, 2025 Accepting new patients
University Internal Medicine,Inc Internal Medicine CurrentSince May 1, 2003 Accepting new patients
Brown Medicine Internal Medicine Current Accepting new patients
Brown Medicine CurrentSince May 1, 2003 Accepting new patients
Rhode Island Hospital CurrentSince Sep 13, 2025 Accepting new patients
Brown Medicine Internal Medicine Past Accepting new patients

Locations

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

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

407 East Ave
Ste 110
Pawtucket, RI 02860
Phone (401) 722-2225

407 East Ave
Ste 120
Pawtucket, RI 02860
Phone (401) 725-4700

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

245 Chapman St
Providence, RI 02905
Phone (401) 444-4741

245 Chapman St
Ste 300
Providence, RI 02905
Phone (401) 444-4741

593 Eddy St
Providence, RI 02903

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

375 Wampanoag Trl
Riverside, RI 02915
Phone (401) 649-4010

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJFJAA

Organizations & group practices 9

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.

Hospital & facility affiliations 9

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1730140864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 EAST AVE STE 110",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605299",
            "telephone_number": "401-725-4739",
            "fax_number": "401-725-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 EAST AVE STE 110",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605299",
            "telephone_number": "401-725-4739",
            "fax_number": "401-725-4740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Chapman St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029054539",
            "country_code": "US",
            "telephone_number": "401-444-5280",
            "fax_number": "401-444-4480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCOUX",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD07976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND",
            "identifier": "2973",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "04-07275",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "406226",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF RI ID#",
            "identifier": "21726-4",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5117244",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CARE",
            "identifier": "AA34962",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0140182004",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP",
            "identifier": "202696",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "1730140864",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP OF RHODE ISLAND",
            "identifier": "202696",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7002341",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clinical@uim.directbygreenway.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Medical Record",
            "address_1": "407 East Ave Ste 110",
            "city": "Pawtucket",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028605299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.