Active NPI
Wesley Rosario-Medina, MD
- Diagnostic Radiology Physician
- Attleboro, MA
National Provider Identifier
1861483737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 57774
- Practice address
- 211 Park Street
Attleboro, MA 02703-3143 - Phone
- (508) 236-7750
- Fax
- (508) 223-3026
- NPI assigned
- Oct 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 57774 | MA | Primary |
Addresses
Primary practice location
211 Park Street
Attleboro, MA 02703-3143
Mailing address
125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785
Phone (401) 432-2520
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3021513 | Medicaid | MA | |
| P00478176 | Other | MA | RR MEDICARE |
| R01133 | Other | MA | BCBS MA |
| 6347436002 | Other | MA | CIGNA NH |
| 300134594 | Other | MA | RAILROAD MEDICARE |
| 344540 | Other | MA | HARVARD PILGRIM |
| 000000028367 | Other | MA | HEALTH NET |
| 04-3140277 | Other | MA | TRICARE |
| 410355 | Other | MA | BLUE CHIP RI |
| 04-3140277 | Other | MA | HCVM FIRST HEALTH |
| 16-00012 | Other | MA | UNITED HEALTHCARE |
| 4700 | Other | MA | BCBS RI |
| 775467 | Other | MA | TUFTS HEALTH PLAN |
| 622402 | Other | MA | CIGNA MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pratt Radiology Associates, Inc | Diagnostic Radiology | Current | Accepting new patients |
| University of Virginia Physicians Group | Current | Accepting new patients | |
| Rhode Island Medical Imaging Inc | Diagnostic Radiology | Past | Accepting new patients |
| Shriver Clinical Services Corporation | Past | Accepting new patients |
Locations
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
501 Sunset Ln
Culpeper, VA 22701
Phone (540) 829-4100
Interoperability endpoints
- wrosariomedina29983@tuftsmedicine.direct-ci.com
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1154361780
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
- Internal Medicine Physician
- Wakefield, MA
- NPI 1225014616
-
- Diagnostic Radiology Physician
- Warwick, RI
- NPI 1205874930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553472000000",
"number": "1861483737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 METRO CENTER BLVD STE 2000",
"city": "WARWICK",
"state": "RI",
"postal_code": "028861785",
"telephone_number": "401-432-2520",
"fax_number": "401-453-8220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 PARK STREET",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027033143",
"telephone_number": "508-236-7750",
"fax_number": "508-223-3026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSARIO-MEDINA",
"first_name": "WESLEY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2019-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "57774",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3021513",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00478176",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "R01133",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA NH",
"identifier": "6347436002",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300134594",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "344540",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "000000028367",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "04-3140277",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP RI",
"identifier": "410355",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HCVM FIRST HEALTH",
"identifier": "04-3140277",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "16-00012",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS RI",
"identifier": "4700",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "775467",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA MA",
"identifier": "622402",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Attleboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.