Individual provider Active NPI

Geraldina Kica, D.O.

  • Internal Medicine Physician
  • Taunton, MA
National Provider Identifier
1801857255
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
226412 Issued in MA
Practice address
88 Washington St
Morton Hospital and Medical Center
Taunton, MA 02780-2465
Phone
(508) 821-9989
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 226412 MA Primary

Addresses

Primary practice location

88 Washington St
Morton Hospital and Medical Center
Taunton, MA 02780-2465

Mailing address

91 Stiles Rd
Salem, NH 03079-2846
Phone (603) 893-9784

Other identifiers 2

IdentifierTypeStateIssuer
2123533MedicaidMA
J40170OtherMABCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111220000029 RI Practitioner - Internal Medicine 9234134008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
226412MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alignmed Medical Group, PC CurrentSince Jul 23, 2024 Accepting new patients
Alignmed Partners, PC CurrentSince Feb 12, 2018 Accepting new patients
GPS Physician Group of Rhode Island PC CurrentSince Feb 12, 2018 Accepting new patients

Locations

10 Woodland Dr
Coventry, RI 02816
Phone (401) 438-3250

1139 Main Ave
Warwick, RI 02886
Phone (401) 739-6600

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kent Regency CenterWarwick, RI, CCN 415009 Skilled nursing facility Adp of the SNF Jan 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1801857255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 STILES RD",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792846",
            "telephone_number": "603-893-9784",
            "fax_number": "603-893-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 WASHINGTON ST",
            "address_2": "MORTON HOSPITAL AND MEDICAL CENTER",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802465",
            "telephone_number": "508-821-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KICA",
        "first_name": "GERALDINA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "226412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2123533",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J40170",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

Verify at the official NPI Registry.