Individual provider Active NPI

Courtney Noonan, MD

  • Obstetrics & Gynecology Physician
  • Providence, RI
National Provider Identifier
1831537208
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD15826 Issued in RI
Practice address
695 Eddy St Ste 21
Providence, RI 02903-4938
Phone
(401) 272-1550
Fax
(401) 421-8792
NPI assigned
Jun 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD15826 RI Primary

Addresses

Primary practice location

695 Eddy St Ste 21
Providence, RI 02903-4938

Mailing address

695 Eddy St Ste 21
Providence, RI 02903-4938
Phone (401) 272-1550

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address courtney.noonan.1@3516.direct.athenahealth.com

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
I20170620001458 RI Practitioner - Obstetrics/Gynecology 4587932363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern New England Healthcare for Women, LLCGroup PAC ID 0042486649, 26 clinicians

Practice addresses (Care Compare)

695 Eddy St
Suite 21
Providence, RI 02903-4941
Phone (401) 272-1550

Hospital & facility affiliations

  • Women & Infants Hospital of Rhode Island Hospital, Providence, RI, CCN 410010
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012

Merit-based Incentive Payment System (MIPS)

Final score
91.21 of 100Reported as group
Quality
93.11
Promoting interoperability
100
Improvement activities
40
Cost
77.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern New England Healthcare for Women, LLC Obstetrics & Gynecology CurrentSince Jan 15, 2020 Accepting new patients

Locations

333 School St
Ste 205
Pawtucket, RI 02860
Phone (401) 724-0600

695 Eddy St
Ste 21
Providence, RI 02903
Phone (401) 272-1550

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.

Hospital & facility affiliations 6

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": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1831537208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 EDDY ST STE 21",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034938",
            "telephone_number": "401-272-1550",
            "fax_number": "401-421-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 EDDY ST STE 21",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034938",
            "telephone_number": "401-272-1550",
            "fax_number": "401-421-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOONAN",
        "first_name": "COURTNEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "RI",
            "license": "MD15826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "courtney.noonan.1@3516.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "695 Eddy St Ste 21",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029034938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.