Organization Active NPI

Coastal Rheumatology PC Inc

  • Rheumatology Physician
  • Westerly, RI
National Provider Identifier
1851310890
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD10564 Issued in RI
Legal business name
COASTAL RHEUMATOLOGY PC INC
Practice address
45 Wells Street
Suite 203B
Westerly, RI 02891
Phone
(401) 348-2180
Fax
(401) 348-6298
NPI assigned
Jul 19, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Christopher A. D'Arcy, M.D.NPI 1073560330
Title
Owner/President
Phone
(401) 348-2180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X 3926 CT
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X MD10564 RI Primary
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X MD10874 RI

Addresses

Primary practice location

45 Wells Street
Suite 203B
Westerly, RI 02891

Mailing address

45 Wells Street
Suite 203B
Westerly, RI 02891
Phone (401) 348-2180

Other practice location 1

23 Clara Dr
Mystic, CT 06355-1959
Phone (401) 348-2180

Other identifiers 1

IdentifierTypeStateIssuer
GROUPCR40894MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041109000978 CT Part B Supplier - Clinic/Group Practice 6103889258 Receives reassigned benefits from 1 practitioner
Practice locations: Mystic, CT
O20050204000232 RI Part B Supplier - Clinic/Group Practice 6103889258 Receives reassigned benefits from 2 practitioners
Practice locations: Westerly, RI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1851310890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 WELLS STREET",
            "address_2": "SUITE 203B",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "02891",
            "telephone_number": "401-348-2180",
            "fax_number": "401-348-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WELLS STREET",
            "address_2": "SUITE 203B",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "02891",
            "telephone_number": "401-348-2180",
            "fax_number": "401-348-6298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Clara Dr",
            "address_purpose": "LOCATION",
            "city": "Mystic",
            "state": "CT",
            "postal_code": "063551959",
            "country_code": "US",
            "telephone_number": "401-348-2180",
            "fax_number": "401-348-6298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL RHEUMATOLOGY PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "D'ARCY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "401-348-2180",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CT",
            "license": "3926",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "RI",
            "license": "MD10564",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "RI",
            "license": "MD10874",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GROUPCR40894",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.