Individual provider Active NPI

Paul F Lentrichia

  • Surgery Physician
  • Johnston, RI
National Provider Identifier
1851314959
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
RI5052 Issued in RI
Practice address
Rhode Island Surgeons Inc
1539 Atwood Avenue Suite 201
Johnston, RI 02919
Phone
(401) 521-6310
Fax
(401) 861-9596
NPI assigned
Jul 26, 2006
Last updated
Feb 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X RI5052 RI Primary

Addresses

Primary practice location

Rhode Island Surgeons Inc
1539 Atwood Avenue Suite 201
Johnston, RI 02919

Mailing address

Rhode Island Surgeons Inc
1539 Atwood Avenue Suite 201
Johnston, RI 02919
Phone (401) 521-6310

Other identifiers 3

IdentifierTypeStateIssuer
0000026702OtherRIRI BLUE CROSS
9000412MedicaidRI
001302OtherRIRI BLUE CHIP

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
I20120409000225 RI Practitioner - General Surgery 1658396882 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RI5052RIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Chartercare Physicians, LLC Surgery CurrentSince Jan 1, 2016 Accepting new patients

Locations

1681 Cranston St
Cranston, RI 02920
Phone (401) 944-6889

1539 Atwood Ave
Ste 201
Johnston, RI 02919
Phone (401) 421-6310

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1851314959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RHODE ISLAND SURGEONS INC",
            "address_2": "1539 ATWOOD AVENUE SUITE 201",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "02919",
            "telephone_number": "401-521-6310",
            "fax_number": "401-861-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RHODE ISLAND SURGEONS INC",
            "address_2": "1539 ATWOOD AVENUE SUITE 201",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "02919",
            "telephone_number": "401-521-6310",
            "fax_number": "401-861-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENTRICHIA",
        "first_name": "PAUL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "RI",
            "license": "RI5052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BLUE CROSS",
            "identifier": "0000026702",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000412",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BLUE CHIP",
            "identifier": "001302",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

Verify at the official NPI Registry.