Organization Active NPI

Newport Medical Associates LLC

  • Internal Medicine Physician
  • Middletown, RI
National Provider Identifier
1871319095
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NEWPORT MEDICAL ASSOCIATES LLC
Practice address
674 Aquidneck Ave Ste 1
Middletown, RI 02842-5795
Phone
(401) 847-9955
Fax
(401) 847-9948
NPI assigned
Dec 3, 2024
Last updated
Dec 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Michael S Duque, MDNPI 1871816488
Title
Physician/Owner
Phone
(401) 847-9955

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

674 Aquidneck Ave Ste 1
Middletown, RI 02842-5795

Mailing address

674 Aquidneck Ave Ste 1
Middletown, RI 02842-5795
Phone (401) 847-9955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250418001572 RI Part B Supplier - Clinic/Group Practice 9032634308 Receives reassigned benefits from 1 practitioner
Practice locations: Middletown, RI

National Provider Directory

National Provider Directory

Locations

674 Aquidneck Ave
Ste 1
Middletown, RI 02842
Phone (401) 847-9955

Practitioners & affiliated clinicians

Practitioners 1

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": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1871319095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "674 AQUIDNECK AVE STE 1",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425795",
            "telephone_number": "401-847-9955",
            "fax_number": "401-847-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 AQUIDNECK AVE STE 1",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425795",
            "telephone_number": "401-847-9955",
            "fax_number": "401-847-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "DUQUE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "401-847-9955",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.