Individual provider Active NPI

Robert Anthony Paolella, M.D.

  • Internal Medicine Physician
  • North Providence, RI
National Provider Identifier
1891759882
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD08017 Issued in RI
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9022999MedicaidRI

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

LicenseStateTypeSpecialty
MD08017RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.