Individual provider Active NPI

Damian Edward Dupuy, MD

  • Diagnostic Radiology Physician
  • East Providence, RI
National Provider Identifier
1861480733
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
9357 Issued in RI
Practice address
20 Catamore Blvd
East Providence, RI 02914-1204
Phone
(401) 432-2520
Fax
(401) 432-2457
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 9357 RI Primary

Addresses

Primary practice location

20 Catamore Blvd
East Providence, RI 02914-1204

Mailing address

20 Catamore Blvd
East Providence, RI 02914-1204
Phone (401) 432-2520

Other identifiers 13

IdentifierTypeStateIssuer
007005660OtherHOSPITAL PIN
009357OtherBCBS
24554RIHOtherRIH PILGRIM
720052601OtherCIGNA
400497OtherBLUE CHIP
7005659OtherRI MEDICAL ASSISTANCE
795079OtherTUFTS
003109544OtherCT MED ASSISTANCE
000000001988OtherNHPRI
300067442OtherRR MEDICARE
3200671OtherHEALTHY START
3200671MedicaidMA
1600203OtherUNITED HEALTH PLANS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20170407001565 MA Practitioner - Diagnostic Radiology 5799800066 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physicians of Cape Cod HospitalGroup PAC ID 9638326671, 330 clinicians

Practice addresses (Care Compare)

27 Park St
Hyannis, MA 02601-5230
Phone (774) 552-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71305MAMDDiagnostic Radiology Physician
9357RIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham & Womens Physicians Organization Inc CurrentSince May 16, 2017 Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Mar 1, 2017 Accepting new patients
Physicians of Cape Cod Hospital Diagnostic Radiology CurrentSince May 15, 2018 Accepting new patients
Harbor Medical Associates, Inc. CurrentSince Mar 1, 2017 Accepting new patients
Physicians of Falmouth Hospital CurrentSince Jul 30, 2018 Accepting new patients
Harbor Medical Associates, Inc. Diagnostic Radiology CurrentSince Mar 1, 2017 Accepting new patients
Cape Cod Hospital Inc Current Accepting new patients
Rhode Island Medical Imaging Inc Diagnostic Radiology PastSince Jun 26, 2022 Accepting new patients

Locations

75 Francis St
Boston, MA 02115

100 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-3501

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200

541 Main St
Ste 210
Weymouth, MA 02190
Phone (781) 952-1200

Interoperability endpoints

  • Direct secure messaging: ddupuy11697@direct.capecodhealthcare.masshiway.net

Organizations & group practices 8

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 2

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1861480733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CATAMORE BLVD",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141204",
            "telephone_number": "401-432-2520",
            "fax_number": "401-432-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CATAMORE BLVD",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141204",
            "telephone_number": "401-432-2520",
            "fax_number": "401-432-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPUY",
        "first_name": "DAMIAN",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "9357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPITAL PIN",
            "identifier": "007005660",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "009357",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RIH PILGRIM",
            "identifier": "24554RIH",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "720052601",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "400497",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI MEDICAL ASSISTANCE",
            "identifier": "7005659",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "795079",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT MED ASSISTANCE",
            "identifier": "003109544",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHPRI",
            "identifier": "000000001988",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300067442",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY START",
            "identifier": "3200671",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3200671",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH PLANS",
            "identifier": "1600203",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

Verify at the official NPI Registry.