Individual provider Active NPI

Richard Eric Seguritan, M.D.

  • Diagnostic Radiology Physician
  • Warwick, RI
National Provider Identifier
1730529306
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD16159 Issued in RI
Practice address
125 Metro Center Boulevard
Suite 2000
Warwick, RI 02886-1768
Phone
(401) 432-2520
Fax
(401) 453-8220
NPI assigned
Jun 27, 2013
Last updated
Mar 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X FR0435669392 NY
Student in an Organized Health Care Education/Training Program 390200000X 08274169 NY
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X MD16159 RI Primary

Addresses

Primary practice location

125 Metro Center Boulevard
Suite 2000
Warwick, RI 02886-1768

Mailing address

125 Metro Center Boulevard
Suite 2000
Warwick, RI 02886-1768
Phone (401) 432-2520

Other practice location 1

7 Fingal St
Staten Island, NY 10312-4903
Phone (718) 317-9155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20190924000520 AZ Practitioner - Diagnostic Radiology 9931463296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians

Practice addresses (Care Compare)

13677 W McDowell Rd
Goodyear, AZ 85395-2635
Phone (832) 915-2534

1551 E Tangerine Rd
Oro Valley, AZ 85755-6213
Phone (832) 915-2534

1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (832) 915-2534

2000 W Bethany Home Rd
Phoenix, AZ 85015-2443
Phone (832) 915-2534

3929 E Bell Rd
Phoenix, AZ 85032-2112
Phone (832) 915-2534

6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (832) 915-2534

6750 E Baywood Ave
Mesa, AZ 85206-1749
Phone (832) 915-2534

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
FR0435669392NYMDInternal Medicine Physician
08274169NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Radiology LTD Multi-Specialty CurrentSince Apr 7, 2021 Accepting new patients
Rhode Island Medical Imaging Inc Multi-Specialty PastSince Jun 26, 2022 Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

525 S Watson Rd
Buckeye, AZ 85326
Phone (623) 925-3980

1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

3630 W Tangerine Rd
Ste 100
Marana, AZ 85658
Phone (520) 744-3206

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

26900 N Lake Pleasant Pkwy
Peoria, AZ 85383
Phone (623) 524-8960

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

16260 S Rancho Sahuarita Blvd
Sahuarita, AZ 85629
Phone (520) 416-7100

16815 W Bell Rd
Surprise, AZ 85374
Phone (623) 244-2400

1625 N Campbell Ave
Tucson, AZ 85719

2200 S Houghton Rd
Tucson, AZ 85748
Phone (520) 287-5728

3870 W River Rd
Tucson, AZ 85741
Phone (520) 219-6616

4001 E Sunrise Dr
Tucson, AZ 85718
Phone (520) 209-7000

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

7375 S Houghton Rd
Ste 115
Tucson, AZ 85747
Phone (520) 640-6300

7895 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 543-6770

Organizations & group practices 2

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 6

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": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1730529306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 METRO CENTER BOULEVARD",
            "address_2": "SUITE 2000",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861768",
            "telephone_number": "401-432-2520",
            "fax_number": "401-453-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 METRO CENTER BOULEVARD",
            "address_2": "SUITE 2000",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861768",
            "telephone_number": "401-432-2520",
            "fax_number": "401-453-8220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Fingal St",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103124903",
            "country_code": "US",
            "telephone_number": "718-317-9155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEGURITAN",
        "first_name": "RICHARD",
        "middle_name": "ERIC",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-27",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "FR0435669392",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "08274169",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "MD16159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.