Brian D Cilley, DO
Individual provider Active NPI Infectious Disease Physician · Wakefield, RI
NPI 1760668487 · NPPES record last updated Dec 12, 2024
Key facts
- NPI
- 1760668487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- License
- DO00678 (RI)
- Practice address
- 70 Kenyon Ave
Wakefield, RI 02879-4239 - Phone
- (401) 782-8000
- NPI assigned
- Jan 11, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Infectious Disease
- Education
- Nova Southeastern Univ College of Dental Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Silver Spring Health Care Management Inc
Practice addresses (Care Compare)
3461 S County TRL
Suite 301
East Greenwich, RI 02818-1463
Hospital & facility affiliations
- Bayada Home Health Care Inc
- South County Hospital Inc
- The Miriam Hospital
- Newport Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120227000817 | RI | Practitioner - Infectious Disease |
3173656667 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 243666 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Physicians Group, Inc. | Internal Medicine | Current |
Accepting new patients |
| Silver Spring Health Care Management, Inc. | Current |
Accepting new patients | |
| Affinity Physicians LLC | Current |
Accepting new patients | |
| Prospect Chartercare Physicians, LLC | Internal Medicine | Current |
Accepting new patients |
| Affinity Physicians LLC. | Internal Medicine | Current |
Accepting new patients |
| Silver Spring Health Care Management, Inc. | Infectious Disease | Current |
Accepting new patients |
| Silver Spring Health Care Management, Inc. | Internal Medicine | Current |
Accepting new patients |
| Southcoast Physicians Group, Inc. | Current |
Accepting new patients | |
| Silver Spring Health Care Management, Inc | Past | Accepting new patients | |
| John Jefferys Bandola, M.D. | Internal Medicine | Past |
Accepting new patients |
| Seacoast Eye Associates Inc | Past | Accepting new patients |
Locations
200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000
208 Mill Rd
Fairhaven, MA 02719
Phone (508) 758-3781
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
386 Stanley St
Fall River, MA 02720
Phone (508) 324-3550
1681 Cranston St
Cranston, RI 02920
Phone (401) 944-6889
3461 S County Trl
Ste 301
East Greenwich, RI 02818
Phone (401) 471-6285
1524 Atwood Ave
Ste 44
Johnston, RI 02919
Phone (401) 272-9880
14 Woodruff Ave
Ste 1
Narragansett, RI 02882
Phone (401) 788-8591
825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000
50 Maude St
Providence, RI 02908
Phone (401) 456-2200
70 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000
70 Kenyon Ave
#211
Wakefield, RI 02879
Phone (401) 471-6285
100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
120 Centerville Rd
Ste 2
Warwick, RI 02886
Phone (401) 562-1020
268 Post Rd
Ste 203
Westerly, RI 02891
Phone (401) 604-2530
Interoperability endpoints
- bcilley@scmg.gwaydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 243666 | MA | |
| Infectious Disease Physician | 207RI0200X | 243666 | MA | |
| Infectious Disease Physician | 207RI0200X | DO00678 | RI | Yes |
Addresses
Primary practice location
70 Kenyon Ave
Wakefield, RI 02879-4239
Mailing address
50 Maude St
Providence, RI 02908-4325
Phone (508) 973-2000
Other practice location 1
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760668484 | Medicaid | RI |
Other providers in Wakefield, RI
- Gaetan Donald Charbonneau
- Nicholas Charbonneau
- Robert K. Chinn
- Heena Elizabeth Choi
- David J Chronley
- Nicole Leslie Cipriani-Fox
- Mary Clair-Michaud
- Cory Clark
- Patricia R Clark
- Club Wellbeing LLC
All providers in Wakefield, RI · Infectious Disease Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.