Individual provider Active NPI

David S Gorelick, MD

  • Internal Medicine Physician
  • Newport, RI
National Provider Identifier
1841297322
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD08471 Issued in RI
Practice address
50 Memorial Blvd
Aquidneck Medical Associates, Inc
Newport, RI 02840-3587
Phone
(401) 847-2290
Fax
(401) 849-8446
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 7

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD08471RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aquidneck Medical Associates, Inc Current Accepting new patients
Newport Hospital Current Accepting new patients
Newport Hospital CurrentSince Jul 1, 2015 Accepting new patients
Newport Hospital CurrentSince Jul 1, 2015 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Sep 1, 2016 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Sep 1, 2016 Accepting new patients
The Miriam Hospital PastSince Oct 23, 2012 Accepting new patients

Locations

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

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

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD08471 RI Primary

Addresses

NPPES NPI Registry

Primary practice location

50 Memorial Blvd
Aquidneck Medical Associates, Inc
Newport, RI 02840-3587

Mailing address

50 Memorial Blvd
Aquidneck Medical Associates, Inc
Newport, RI 02840-3587
Phone (401) 847-2290

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
9020235MedicaidRI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 30, 2015.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1841297322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MEMORIAL BLVD",
            "address_2": "AQUIDNECK MEDICAL ASSOCIATES, INC",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028403587",
            "telephone_number": "401-847-2290",
            "fax_number": "401-849-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MEMORIAL BLVD",
            "address_2": "AQUIDNECK MEDICAL ASSOCIATES, INC",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028403587",
            "telephone_number": "401-847-2290",
            "fax_number": "401-849-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORELICK",
        "first_name": "DAVID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD08471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9020235",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.