Active NPI
Katherine D McCleary, M.D.
- Family Medicine Physician
- Lincoln, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD13737
- Practice address
- 640 George Washington Highway
Building a, Suite 102
Lincoln, RI 02865 - Phone
- (401) 921-7900
- Fax
- (401) 921-6959
- NPI assigned
- Jul 7, 2008
- Last updated
- Dec 5, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 253399 | MA | |
| Family Medicine Physician | 207Q00000X | MD13737 | RI | Primary |
Addresses
Primary practice location
640 George Washington Highway
Building a, Suite 102
Lincoln, RI 02865
Mailing address
455 Toll Gate Rd
PRC and Credentialing
Warwick, RI 02886-2759
Phone (401) 273-0641
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- New York Medical College, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010
Hospital & facility affiliations
- Amedisys Home Health Care
- Women & Infants Hospital of Rhode Island
- Kent County Memorial Hospital
- Sturdy Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Physicians LLC | Current | Accepting new patients | |
| Affinity Physicians LLC. | Family Medicine | Current | Accepting new patients |
Locations
111 Brewster St
Pawtucket, RI 02860
Phone (401) 729-2000
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
Interoperability endpoints
- kmccleary@direct.carene.org
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Providence, RI
- NPI 1053038471
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kent County Hospital Rehab Unit
- Rehabilitation Hospital Unit
- Warwick, RI
- NPI 1023017944
-
- General Acute Care Hospital
- Warwick, RI
- NPI 1386643294
-
- General Acute Care Hospital
- Providence, RI
- NPI 1447233788
-
- General Acute Care Hospital
- Attleboro, MA
- NPI 1730106162
-
dba Amedisys Home Health Care
- Home Health Agency
- Wakefield, MA
- NPI 1407800584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1811150238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 TOLL GATE RD",
"address_2": "PRC AND CREDENTIALING",
"city": "WARWICK",
"state": "RI",
"postal_code": "028862759",
"telephone_number": "401-273-0641",
"fax_number": "401-273-2919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 GEORGE WASHINGTON HIGHWAY",
"address_2": "BUILDING A, SUITE 102",
"city": "LINCOLN",
"state": "RI",
"postal_code": "02865",
"telephone_number": "401-921-7900",
"fax_number": "401-921-6959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLEARY",
"first_name": "KATHERINE",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-07",
"last_updated": "2022-12-05",
"certification_date": "2022-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "253399",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "RI",
"license": "MD13737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.