Individual provider Active NPI

David Stowik, P.A

  • Physician Assistant
  • East Providence, RI
National Provider Identifier
1790113967
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00725 Issued in RI
Practice address
20 Catamore Blvd
East Providence, RI 02914-1204
Phone
(401) 432-2500
Fax
(401) 453-8220
NPI assigned
Oct 24, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA00725 RI
Physician Assistant 363A00000X PA00725 RI Primary

Addresses

Primary practice location

20 Catamore Blvd
East Providence, RI 02914-1204

Mailing address

20 Catamore Blvd
East Providence, RI 02914-1204
Phone (401) 432-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140115000544 RI Practitioner - Physician Assistant 2769610930 Reassigns benefits to 1 organization
I20221212000853 MA Practitioner - Physician Assistant 2769610930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.45 of 100Reported as group
Quality
85.46
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA00725RIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Newport County Medical Treatment Office Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: david.stowik.1@29391.direct.athenahealth.com
  • Direct secure messaging: david.stowik.1@14269.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1790113967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CATAMORE BLVD",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141204",
            "telephone_number": "401-432-2500",
            "fax_number": "401-453-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CATAMORE BLVD",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141204",
            "telephone_number": "401-432-2500",
            "fax_number": "401-453-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOWIK",
        "first_name": "DAVID",
        "credential": "P.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-24",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "RI",
            "license": "PA00725",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA00725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

Verify at the official NPI Registry.