Individual provider Active NPI

Anthony Robert Buonanno, M.D.

  • Orthopaedic Surgery Physician
  • Johnston, RI
National Provider Identifier
1831157759
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD05345 Issued in RI
Practice address
1524 Atwood Ave
Suite 140
Johnston, RI 02919-3228
Phone
(401) 351-6200
Fax
(401) 351-6201
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD05345 RI Primary

Addresses

Primary practice location

1524 Atwood Ave
Suite 140
Johnston, RI 02919-3228

Mailing address

1524 Atwood Ave
Suite 140
Johnston, RI 02919-3228
Phone (401) 351-6200

Other identifiers 15

IdentifierTypeStateIssuer
050397249OtherMULTIPLANS
050397249OtherPEQUOT PLUS HEALTH PLANS
103714900OtherU.S. DEPT. OF LABOR-WC
000364OtherRIBLUECHIP OF RI
050397249OtherFIRSTHLTH/COVENTRY/HCVM
27239OtherRINEIGHBORHOOD HEALTH PLANS
RI5354/050397249OtherWORKERS COMPENSATION PLAN
AB-01884MedicaidRI
050397249OtherUNITEDHEALTHCARE
0900138OtherUNITEDHEALTHCARE
2287OtherRIBC BS OF RI
3179262-0001OtherCIGNA
4392040OtherAETNA
CD1829OtherRAILROAD MEDICARE
R000315/050397249OtherTRICARE

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
I20040604000154 RI Practitioner - Orthopedic Surgery 4789666520

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Orthopedics Inc. Orthopaedic Surgery CurrentSince Jun 23, 2010 Accepting new patients

Locations

1524 Atwood Ave
Ste 140
Johnston, RI 02919
Phone (401) 351-6200

1524 Atwood Ave
Providence, RI 02919
Phone (401) 272-2110

Organizations & group practices 1

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1831157759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE",
            "address_2": "SUITE 140",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-351-6200",
            "fax_number": "401-351-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE",
            "address_2": "SUITE 140",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-351-6200",
            "fax_number": "401-351-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUONANNO",
        "first_name": "ANTHONY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "RI",
            "license": "MD05345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLANS",
            "identifier": "050397249",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEQUOT PLUS HEALTH PLANS",
            "identifier": "050397249",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U.S. DEPT. OF LABOR-WC",
            "identifier": "103714900",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP OF RI",
            "identifier": "000364",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTHLTH/COVENTRY/HCVM",
            "identifier": "050397249",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLANS",
            "identifier": "27239",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION PLAN",
            "identifier": "RI5354/050397249",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AB-01884",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "050397249",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "0900138",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF RI",
            "identifier": "2287",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3179262-0001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4392040",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD1829",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "R000315/050397249",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

Verify at the official NPI Registry.