Casey Eldert, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD13630 Issued in RI

Practice address

1272 W Main Rd
Middletown, RI 02842-6405

Phone

(401) 847-2900

Fax

(401) 849-8446

NPI assigned

Jun 6, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: celdert28739@brownhealth.medalliesdirect.net

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.

• Coastal Medical Physicians, Inc.

  dba Brown Health Medical Group Primary Care

  • Internal Medicine Physician
  • Providence, RI
  • NPI 1780273540

  Pediatrics

  Medicare reassignment NPD
• Coastal Medical Physicians, Inc.

  dba Brown Health Medical Group Primary Care

  • Internal Medicine Physician
  • Riverside, RI
  • NPI 1093678104
  NPD
• Lifespan Corporation

  • Children's Rehabilitation Hospital
  • Providence, RI
  • NPI 1790221232
  NPD
• Coastal Medical, Inc.

  • Non-Pharmacy Dispensing Site
  • East Providence, RI
  • NPI 1144361718
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1750540571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MEMORIAL BLVD",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028403636",
            "telephone_number": "401-847-2290",
            "fax_number": "401-849-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 W MAIN RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028426405",
            "telephone_number": "401-847-2900",
            "fax_number": "401-849-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDERT",
        "first_name": "CASEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-06",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD13630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Easton Pond Chiropractic, Inc.
• Cecelia Glynn Echevarria
• Christa Edolo, LCSW
• Zachery C Edwards, OTD, OTR/L
• Lamis Elbstamey
• Emerald Springs Equine Services
• Empire Vision Center Inc (Vision World)
• Rebecca English, LMHC
• Marisa Erazo, PA-C
• Essential Bodywork (Deeper Dive Wellness)

• Pediatrics Physician in Middletown, RI
• Providers in Middletown, RI by specialty
• Pediatrics Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.

Verify at the official NPI Registry.