Individual provider Active NPI

Jeffrey Viveiros, NP

  • Family Nurse Practitioner
  • East Greenwich, RI
National Provider Identifier
1740666932
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2285490 Issued in MA
Practice address
1672 S County TRL
East Greenwich, RI 02818-5098
Phone
(401) 885-7546
NPI assigned
Aug 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2285490 MA Primary

Addresses

Primary practice location

1672 S County TRL
East Greenwich, RI 02818-5098

Mailing address

1672 S County TRL
East Greenwich, RI 02818-5098
Phone (401) 885-7546

Other identifiers 3

IdentifierTypeStateIssuer
050483739OtherTAX ID #
1740666932MedicaidRI
709004046OtherRIMEDICARE GROUP PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150929002641 RI Practitioner - Nurse Practitioner 2264740943 Reassigns benefits to 1 organization
I20171124000134 MA Practitioner - Nurse Practitioner 2264740943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Dermatology Professionals IncGroup PAC ID 9234283953, 19 clinicians
Coastal Dermatology IncGroup PAC ID 3779860390, 10 clinicians

Practice addresses (Care Compare)

1672 S County TRL
Suite 101
East Greenwich, RI 02818-5099
Phone (401) 885-7546

829 American Legion Hwy
Westport, MA 02790-4128
Phone (508) 306-1400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.51 of 100Reported as individual
Quality
88.2
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2285490MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Dermatology Inc CurrentSince Mar 18, 2024 Accepting new patients
Dermatology Professionals Inc. CurrentSince Sep 10, 2018 Accepting new patients

Locations

829 American Legion Hwy
Westport, MA 02790
Phone (508) 306-1400

1672 S County Trl
Ste 101
East Greenwich, RI 02818
Phone (401) 885-7546

1672 S County Trl
East Greenwich, RI 02818
Phone (401) 885-7546

Interoperability endpoints

  • Direct secure messaging: jviveiros@apderm.emadirect.md

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.

Hospital & facility affiliations 1

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": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1740666932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1672 S COUNTY TRL",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028185098",
            "telephone_number": "401-885-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 S COUNTY TRL",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028185098",
            "telephone_number": "401-885-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVEIROS",
        "first_name": "JEFFREY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2285490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "050483739",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740666932",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "709004046",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenwich, RI

Sources for this page

Verify at the official NPI Registry.