Individual provider Active NPI

Calli Dogon, MD

  • Infectious Disease Physician
  • Riverside, RI
National Provider Identifier
1821511445
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD19262 Issued in RI
Practice address
375 Wampanoag TRL
Riverside, RI 02915-2232
Phone
(401) 649-4080
Fax
(401) 649-4081
NPI assigned
Jul 25, 2017
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD19262 RI
Infectious Disease Physician 207RI0200X MD19262 RI Primary

Addresses

Primary practice location

375 Wampanoag TRL
Riverside, RI 02915-2232

Mailing address

110 Elm St
Providence, RI 02903-4626
Phone (401) 443-4992

Other practice location 1

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-8689

Other practice location 2

180 Corliss St Ste E1
Providence, RI 02904-2602
Phone (401) 793-2928

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
I20230608001284 RI Practitioner - Infectious DiseasePractitioner - Internal Medicine 3476910373 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Miriam HospitalGroup PAC ID 6901796408, shared by 11 NPIs, 178 clinicians
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

Practice addresses (Care Compare)

14 3Rd St
Providence, RI 02906-2738
Phone (401) 793-7272

180 Corliss St
Suite E1
Providence, RI 02904-2602
Phone (401) 793-2928

19 Friendship St
Suite 150 160
Newport, RI 02840-2272
Phone (401) 845-3800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Miriam Hospital Multi-Specialty CurrentSince Jul 1, 2023 Accepting new patients
Brown Medicine Multi-Specialty CurrentSince Jul 1, 2023 Accepting new patients
Lifespan Physician Group, Inc. Multi-Specialty CurrentSince Oct 1, 2024 Accepting new patients
The Miriam Hospital CurrentSince Jul 1, 2023 Accepting new patients
Lifespan Physician Group, Inc. Multi-Specialty CurrentSince Oct 1, 2024 Accepting new patients
The Miriam Hospital Multi-Specialty CurrentSince Aug 1, 2024 Accepting new patients
Brown Medicine Multi-Specialty Current Accepting new patients
Brown Medicine Multi-Specialty CurrentSince Jul 1, 2023 Accepting new patients
Lifespan Corporation Current Accepting new patients
Brown Medicine Multi-Specialty Past Accepting new patients
The Miriam Hospital Multi-Specialty Past Accepting new patients

Locations

19 Friendship St
Ste 150160
Newport, RI 02840
Phone (401) 845-3800

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

110 Elm St
Providence, RI 02903
Phone (401) 443-4992

1125 N Main St
Providence, RI 02904
Phone (401) 793-2928

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

14 3rd St
Providence, RI 02906
Phone (401) 793-7272

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

180 Corliss St
Ste E1
Providence, RI 02904
Phone (401) 793-2928

180 Corliss St
Ste E2
Providence, RI 02904
Phone (401) 793-2928

593 Eddy St
Providence, RI 02903

375 Wampanoag Trl
Riverside, RI 02915
Phone (401) 649-4010

Interoperability endpoints

  • Direct secure messaging: cdogon192812@brownhealth.medalliesdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/EJFJAA

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1821511445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ELM ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034626",
            "telephone_number": "401-443-4992",
            "fax_number": "401-537-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 WAMPANOAG TRL",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029152232",
            "telephone_number": "401-649-4080",
            "fax_number": "401-649-4081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "593 Eddy St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034923",
            "country_code": "US",
            "telephone_number": "401-444-8689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 Corliss St Ste E1",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029042602",
            "country_code": "US",
            "telephone_number": "401-793-2928",
            "fax_number": "401-793-7401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOGON",
        "first_name": "CALLI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD19262",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "RI",
            "license": "MD19262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, RI

Sources for this page

Verify at the official NPI Registry.