Active NPI
Emily Jane Ackerman, M.D.
- Family Medicine Physician
- Slatersville, RI
National Provider Identifier
1740256395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD11830
- Practice address
- 261 Main St Ste 102
Slatersville, RI 02876-1015 - Phone
- (401) 597-5656
- Fax
- (401) 597-5671
- NPI assigned
- Feb 24, 2006
- Last updated
- Mar 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 07Q00000X | RI | |
| Family Medicine Physician | 207Q00000X | MD11830 | RI | Primary |
Addresses
Primary practice location
261 Main St Ste 102
Slatersville, RI 02876-1015
Mailing address
PO Box 927
Slatersville, RI 02876
Phone (401) 597-5656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD11830 | Other | RI | LICENSE |
Other names 1
- Emily J Hile
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eackerman@direct.carene.org | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Hahneman Medical College of the Pacific, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
261 Main St
Suite 102
Slatersville, RI 02876-1015
Phone (401) 597-5656
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07Q00000X | RI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emily Ackerman M.D. LLC | Current | Accepting new patients | |
| North Smithfield Urgent Care,LLC | Past | Accepting new patients |
Interoperability endpoints
- eackerman@direct.carene.org
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.
-
- Internal Medicine Physician
- North Smithfield, RI
- NPI 1881925493
-
- Internal Medicine Physician
- North Smithfield, RI
- NPI 1649404799
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Landmark Medical Center
- General Acute Care Hospital
- Woonsocket, RI
- NPI 1699752923
-
dba Landmark Medical Center
- Psychiatric Hospital Unit
- Woonsocket, RI
- NPI 1396722666
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1740256395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 927",
"city": "SLATERSVILLE",
"state": "RI",
"postal_code": "02876",
"telephone_number": "401-597-5656",
"fax_number": "401-597-5671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 MAIN ST STE 102",
"city": "SLATERSVILLE",
"state": "RI",
"postal_code": "028761015",
"telephone_number": "401-597-5656",
"fax_number": "401-597-5671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKERMAN",
"first_name": "EMILY",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-24",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "RI",
"license": "07Q00000X",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "RI",
"license": "MD11830",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "MD11830",
"state": "RI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eackerman@direct.carene.org",
"affiliation": "N",
"endpointDescription": "Kent PHI email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "261 Main Street",
"address_2": "Suite 102",
"city": "N. Smithfield",
"state": "RI",
"country_code": "US",
"postal_code": "02896",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "EMILY",
"last_name": "HILE",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Slatersville, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.