David A. Dicecco, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

6289 Issued in RI

Practice address

200 High Service Avenue
Marion Hall, 2ND Floor
North Providence, RI 02904-5113

Phone

(401) 456-3456

Fax

(401) 456-3458

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1981

Medicare assignment

May accept Medicare assignment

Group practices

Atwood Medical Associates LTDGroup PAC ID 0941106652, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Care Home health agency, Warwick, RI, CCN 417036
• Continuum Care Hospice Hospice, West Warwick, RI, CCN 411512
• Hopehealth Hospice & Palliative Care Hospice, Providence, RI, CCN 411500
• Our Lady of Fatima Hospital Hospital, North Providence, RI, CCN 410005
• The Miriam Hospital Hospital, Providence, RI, CCN 410012
• Briarcliffe Manor Nursing home, Johnston, RI, CCN 415012

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Atwood Medical Associates LTD

  • Pulmonary Disease Physician
  • Johnston, RI
  • NPI 1558386227

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Wellness Resolutions, LLC

  • Registered Dietitian
  • North Providence, RI
  • NPI 1790815579
  NPD (past)

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

• Continuum Care of Rhode Island, LLC

  • Community Based Hospice Care Agency
  • West Warwick, RI
  • NPI 1164948220
  Care Compare affiliation
• Hopehealth Hospice & Palliative Care

  • Community Based Hospice Care Agency
  • Providence, RI
  • NPI 1871674796
  Care Compare affiliation
• Medical Homes of Rhode Island Inc

  • Skilled Nursing Facility
  • Johnston, RI
  • NPI 1003895905

  Nursing home

  Care Compare affiliation
• Prospect Chartercare Sjhsri, LLC

  • General Acute Care Hospital
  • North Providence, RI
  • NPI 1871918870
  Care Compare affiliation
• Tender Loving Care Health Care Services of New England, LLC

  • Home Health Agency
  • Warwick, RI
  • NPI 1770537854
  Care Compare affiliation
• The Miriam Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1487649430
  Care Compare affiliation

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1831201839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HIGH SERVICE AVENUE",
            "address_2": "MARIAN HALL, 2ND FLOOR",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029045113",
            "telephone_number": "401-456-3456",
            "fax_number": "401-456-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGH SERVICE AVENUE",
            "address_2": "MARION HALL, 2ND FLOOR",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029045113",
            "telephone_number": "401-456-3456",
            "fax_number": "401-456-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICECCO",
        "first_name": "DAVID",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "6289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000415",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denis E. Moonan, MD, Inc
• Jeana Depamphilis, PHARMD
• Melissa Ann Devlin, PA
• Elianna Diaz
• Guadalupe Diaz
• Lisa Rae Diiorio, COTA/L
• Emily Dimon, MSW
• Paul Dionisopoulos, M.D.
• Gina Lynn Diruzzo, OTR/L
• Mary Disanto

• Internal Medicine Physician in North Providence, RI
• Providers in North Providence, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.

Verify at the official NPI Registry.