Active NPI
Roger F Fazio, M.D.
- Pediatric Adolescent Medicine Physician
- Wakefield, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- MD11861
- Practice address
- 49 S County Commons Way Unit F5
Wakefield, RI 02879-8200 - Phone
- (401) 783-8008
- Fax
- (401) 783-8156
- NPI assigned
- Apr 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | MD11861 | RI | Primary |
Addresses
Primary practice location
49 S County Commons Way Unit F5
Wakefield, RI 02879-8200
Mailing address
49 S County Commons Way Unit F5
Wakefield, RI 02879-8200
Phone (401) 783-8008
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD11861 | RI | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Physicians LLC. | Current | Accepting new patients | |
| Silver Spring Health Care Management, Inc. | Adolescent Medicine | Current | Accepting new patients |
| Silver Spring Health Care Management, Inc. | Current | Accepting new patients | |
| Osteopathic Family Medicine, LLC | Past | Accepting new patients |
Locations
101 Dudley St
Ofc
Providence, RI 02905
70 Kenyon Ave
Unit 211
Wakefield, RI 02879
Phone (401) 789-8543
100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000
49 South County Commons Way
Unit F5
Wakefield, RI 02879
Phone (401) 783-8008
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
Interoperability endpoints
- rfazio11060@direct.carene.org
Organizations & group practices 4
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.
-
dba SCMG Hospitalists
- Internal Medicine Physician
- Wakefield, RI
- NPI 1861561193
-
- Internal Medicine Physician
- Warwick, RI
- NPI 1184944662
-
dba SCMG Nursery
- Pediatrics Physician
- Wakefield, RI
- NPI 1992224497
Adolescent Medicine
-
dba Aaron W. Way, D.O.
- Family Medicine Physician
- Wakefield, RI
- NPI 1861811358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1760448930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 S COUNTY COMMONS WAY UNIT F5",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028798200",
"telephone_number": "401-783-8008",
"fax_number": "401-783-8156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 S COUNTY COMMONS WAY UNIT F5",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028798200",
"telephone_number": "401-783-8008",
"fax_number": "401-783-8156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAZIO",
"first_name": "ROGER",
"middle_name": "F",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "RI",
"license": "MD11861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wakefield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.