Active NPI
Veenu Garewal Wilks, MD
- Internal Medicine Physician
- Cranston, RI
National Provider Identifier
1750568531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD12807
- Practice address
- 75 Sockanosset Cross Rd
Suite 100
Cranston, RI 02920-5558 - Phone
- (401) 946-6200
- Fax
- (401) 275-1992
- NPI assigned
- Jan 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD12807 | RI | Primary |
Addresses
Primary practice location
75 Sockanosset Cross Rd
Suite 100
Cranston, RI 02920-5558
Mailing address
1905 Division Rd
East Greenwich, RI 02818-1212
Phone (631) 664-6173
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750568531 | Medicaid | RI | |
| 05-0483739 | Other | RI | TAX ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1750568531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 DIVISION RD",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028181212",
"telephone_number": "631-664-6173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 SOCKANOSSET CROSS RD",
"address_2": "SUITE 100",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029205558",
"telephone_number": "401-946-6200",
"fax_number": "401-275-1992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKS",
"first_name": "VEENU",
"middle_name": "GAREWAL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-24",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD12807",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1750568531",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "05-0483739",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.