Active NPI
Robert Anthony Paolella, M.D.
- Internal Medicine Physician
- North Providence, RI
National Provider Identifier
1891759882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD08017
- Practice address
- 1515 Smith St
Suite M
North Providence, RI 02911-2947 - Phone
- (401) 354-4384
- Fax
- (401) 354-4390
- NPI assigned
- Apr 14, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD08017 | RI | Primary |
Addresses
Primary practice location
1515 Smith St
Suite M
North Providence, RI 02911-2947
Mailing address
1515 Smith St
Suite M
North Providence, RI 02911-2947
Phone (401) 354-4384
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9022999 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD08017 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert a. Paolella, M.D., Inc. | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- North Providence, RI
- NPI 1972742435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891759882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 SMITH ST",
"address_2": "SUITE M",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "029112947",
"telephone_number": "401-354-4384",
"fax_number": "401-354-4390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 SMITH ST",
"address_2": "SUITE M",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "029112947",
"telephone_number": "401-354-4384",
"fax_number": "401-354-4390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAOLELLA",
"first_name": "ROBERT",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD08017",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9022999",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.