Active NPI
Thomas R Meredith, M.D.
- Emergency Medicine Physician
- Cranston, RI
National Provider Identifier
1770765976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD13075
- Practice address
- 140 Meshanticut Valley Pkwy
Cranston, RI 02920-3964 - Phone
- (781) 650-0797
- Fax
- (401) 943-1654
- NPI assigned
- Nov 29, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD13075 | RI | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
140 Meshanticut Valley Pkwy
Cranston, RI 02920-3964
Mailing address
140 Meshanticut Valley Pkwy
Cranston, RI 02920-3964
Phone (781) 640-0797
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10-08-2009 | Other | RI | NHPRI |
| 10/27/2009 | Other | RI | BCBS |
| TM77319 | Medicaid | RI | |
| 09-22-2009 | Other | MA | TUFTS HEALTH PLAN |
| 110082966 | Medicaid | MA | |
| 001248501 | Other | RI | MEDICARE |
| 1770765976 | Other | RI | NPI |
| 04/15/2009 | Other | RI | UNITED HEALTHCARE |
| 1962455022 | Other | RI | UEMF GROUP NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- ms_tmeredi6@landmarkhealth-direct.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738713600000",
"number": "1770765976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 MESHANTICUT VALLEY PKWY",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029203964",
"telephone_number": "781-640-0797",
"fax_number": "401-943-1654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 MESHANTICUT VALLEY PKWY",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029203964",
"telephone_number": "781-650-0797",
"fax_number": "401-943-1654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEREDITH",
"first_name": "THOMAS",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-29",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "RI",
"license": "MD13075",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHPRI",
"identifier": "10-08-2009",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "10/27/2009",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TM77319",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "09-22-2009",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110082966",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "001248501",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1770765976",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "04/15/2009",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UEMF GROUP NPI",
"identifier": "1962455022",
"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 Feb 5, 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.