NPIMap

Individual provider Active NPI

Stephen Michael Scott, M.D.

  • Internal Medicine Physician
  • Warwick, RI
National Provider Identifier
1730152505
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD09755 Issued in RI
Practice address
43 Jefferson Blvd
Suite 2
Warwick, RI 02888-1027
Phone
(401) 941-2830
Fax
(401) 941-6886
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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 MD09755 RI Primary

Addresses

Primary practice location

43 Jefferson Blvd
Suite 2
Warwick, RI 02888-1027

Mailing address

15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 444-6779

Other practice location 1

1170 Pontiac Ave
Cranston, RI 02920-7944
Phone (401) 895-9937

Other identifiers 1

IdentifierTypeStateIssuer
1730152505MedicaidRI

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
I20050827000168 RI Practitioner - Internal MedicinePractitioner - Family Practice 7911938121 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Medical Physicians IncGroup PAC ID 0345658316, 222 clinicians
Brown MedicineGroup PAC ID 0446159776, 220 clinicians

Practice addresses (Care Compare)

43 Jefferson Blvd
Warwick, RI 02888-1027
Phone (401) 649-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD09755RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical Physicians, Inc. Internal Medicine CurrentSince Jan 28, 2026 Accepting new patients
Brown Medicine Internal Medicine CurrentSince Feb 1, 2017 Accepting new patients
Brown Medicine CurrentSince Feb 1, 2017 Accepting new patients
Coastal Medical Physicians, Inc. Internal Medicine CurrentSince Jan 28, 2026 Accepting new patients
Atmed Treatment Center, Inc. Internal Medicine CurrentSince Nov 25, 1998 Accepting new patients
Atwood Medical Associates LTD Internal Medicine Past Accepting new patients

Locations

1524 Atwood Ave
Ste 122
Johnston, RI 02919
Phone (401) 273-9400

593 Eddy St
Providence, RI 02903

15 La Salle Sq
Providence, RI 02903

17 Virginia Ave
Ste 107
Providence, RI 02905
Phone (401) 784-4923

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

43 Jefferson Blvd
Warwick, RI 02888
Phone (401) 316-5482

43 Jefferson Blvd
Ste 2
Warwick, RI 02888
Phone (401) 467-1166

Organizations & group practices 6

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 12

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1730152505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LA SALLE SQ",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029031814",
            "telephone_number": "401-444-6779",
            "fax_number": "401-444-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 JEFFERSON BLVD",
            "address_2": "SUITE 2",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028881027",
            "telephone_number": "401-941-2830",
            "fax_number": "401-941-6886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1170 Pontiac Ave",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029207944",
            "country_code": "US",
            "telephone_number": "401-895-9937",
            "fax_number": "401-296-3998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD09755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730152505",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.