Individual provider Active NPI

Plakyil Joseph Joseph, M.D.

  • Hematology & Oncology Physician
  • Cranston, RI
National Provider Identifier
1821070418
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD08116 Issued in RI
Practice address
1220 Pontiac Ave
Suite 101
Cranston, RI 02920-4455
Phone
(401) 943-4660
Fax
(401) 943-0240
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD08116 RI Primary

Addresses

Primary practice location

1220 Pontiac Ave
Suite 101
Cranston, RI 02920-4455

Mailing address

1220 Pontiac Ave
Suite 101
Cranston, RI 02920-4455
Phone (401) 943-4660

Other identifiers 14

IdentifierTypeStateIssuer
2456OtherPRNEIGHBORGOOD HEALTH PLAN
720023901OtherCIGNA
0173711OtherMAMASSHEALTH
0512967OtherRIUS HEALTHCARE
0000002589OtherRIBC/BS OF RI
05279441OtherAETNA
11093252OtherCAQH
30-00051OtherRIUHC OF NEW ENGLAND,INC
7003433MedicaidRI
203575OtherRIRI BLUE CHIP
RI0007329OtherRITRICARE
0000002589OtherRIFEP BC/BS
110203419OtherRIRAILROAD MEDICARE
14368RIHOtherRIHARVARD PILGRIM HEALTH IN

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
I20050524001249 RI Practitioner - Medical Oncology 6709828338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD08116RIMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC. Hematology & Oncology CurrentSince Mar 1, 2020 Accepting new patients
Affinity Physicians LLC CurrentSince Mar 1, 2020 Accepting new patients

Locations

1220 Pontiac Ave
Ste 101
Cranston, RI 02920
Phone (401) 943-4660

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

Interoperability endpoints

  • Direct secure messaging: pjoseph@kent.cernerdirect.carene.org
  • Direct secure messaging: pjoseph@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 and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1821070418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 PONTIAC AVE",
            "address_2": "SUITE 101",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204455",
            "telephone_number": "401-943-4660",
            "fax_number": "401-943-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 PONTIAC AVE",
            "address_2": "SUITE 101",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204455",
            "telephone_number": "401-943-4660",
            "fax_number": "401-943-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "PLAKYIL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "RI",
            "license": "MD08116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORGOOD HEALTH PLAN",
            "identifier": "2456",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "720023901",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSHEALTH",
            "identifier": "0173711",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTHCARE",
            "identifier": "0512967",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF RI",
            "identifier": "0000002589",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "05279441",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11093252",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC OF NEW ENGLAND,INC",
            "identifier": "30-00051",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003433",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BLUE CHIP",
            "identifier": "203575",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "RI0007329",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEP BC/BS",
            "identifier": "0000002589",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110203419",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH IN",
            "identifier": "14368RIH",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.