NPIMap

Individual provider Active NPI

Michael Mariorenzi, MD

  • Orthopaedic Surgery Physician
  • Cranston, RI
National Provider Identifier
1861870321
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD17077 Issued in RI
Practice address
725 Reservoir Ave Ste 101
Cranston, RI 02910-4450
Phone
(401) 944-3800
NPI assigned
May 15, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD17077 RI Primary

Addresses

Primary practice location

725 Reservoir Ave Ste 101
Cranston, RI 02910-4450

Mailing address

1 Kettle Point Ave
East Providence, RI 02914-5375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200519001214 RI Practitioner - Orthopedic Surgery 2163853516 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Georgetown University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Orthopedics IncGroup PAC ID 9931000395, 185 clinicians

Practice addresses (Care Compare)

2 Dudley St
Suite 200
Providence, RI 02905-3248
Phone (401) 457-1500

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Warwick, RI, CCN 417064
  • Amedisys Home Health Care Home health agency, Warwick, RI, CCN 417036
  • Elara Caring Home health agency, Warwick, RI, CCN 417035
  • Our Lady of Fatima Hospital Hospital, North Providence, RI, CCN 410005
  • Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Roger Williams Medical Center Hospital, Providence, RI, CCN 410004

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement23
Knee replacement33

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Associates Inc Orthopaedic Surgery CurrentSince Sep 1, 2022 Accepting new patients
Prospect Chartercare RWMC, LLC CurrentSince Sep 1, 2022 Accepting new patients
Chartercare Roger Williams Medical Center Orthopaedic Surgery CurrentSince May 28, 2025 Accepting new patients
Prospect Chartercare RWMC, LLC Orthopaedic Surgery CurrentSince Sep 1, 2022 Accepting new patients

Locations

2138 Mendon Rd
Ste 302
Cumberland, RI 02864
Phone (401) 334-1060

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

725 Reservoir Ave
Ste 101
Providence, RI 02910
Phone (401) 944-0228

Interoperability endpoints

  • Direct secure messaging: michael.mariorenzi.3@13709.direct.athenahealth.com

Organizations & group practices 5

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 12

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": "1431648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1861870321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KETTLE POINT AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029145375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE STE 101",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104450",
            "telephone_number": "401-944-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIORENZI",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-15",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "RI",
            "license": "MD17077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.