Active NPI
Nicholas T Nikolopoulos, DO
- Family Medicine Physician
- Warwick, RI
National Provider Identifier
1740591015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO00744
- Practice address
- 300 Quaker LN # C2-4
Warwick, RI 02886-0159 - Phone
- (401) 233-5051
- NPI assigned
- Jul 1, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | LP02071 | RI | |
| Family Medicine Physician | 207Q00000X | 254757 | MA | |
| Family Medicine Physician | 207Q00000X | DO00744 | RI | Primary |
Addresses
Primary practice location
300 Quaker LN # C2-4
Warwick, RI 02886-0159
Mailing address
30 W Monroe St Ste 1200
Chicago, IL 60603-2420
Phone (312) 733-9730
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 254757 | MA | MD | Family Medicine Physician |
| DO00744 | RI | MD | Family Medicine Physician |
| LP02071 | RI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osh - Ri Physicians Group, PC | Family Medicine | Current | Accepting new patients |
| Osh-Mi Physicians Group PC | Family Medicine | Past | Accepting new patients |
Locations
30 W Monroe St
Ste 1200
Chicago, IL 60603
Phone (773) 609-1758
300 Quaker Ln
#C24
Warwick, RI 02886
Phone (401) 233-5051
300 Quaker Ln
Warwick, RI 02886
Phone (401) 233-5051
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Greensboro, NC
- NPI 1033766092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596672000000",
"number": "1740591015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 W MONROE ST STE 1200",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606032420",
"telephone_number": "312-733-9730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 QUAKER LN # C2-4",
"city": "WARWICK",
"state": "RI",
"postal_code": "028860159",
"telephone_number": "401-233-5051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIKOLOPOULOS",
"first_name": "NICHOLAS",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-01",
"last_updated": "2020-08-06",
"certification_date": "2020-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "RI",
"license": "LP02071",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "254757",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "RI",
"license": "DO00744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.