NPIMap

Individual provider Active NPI

Martha B Mainiero, MD

  • Diagnostic Radiology Physician
  • Providence, RI
National Provider Identifier
1891783759
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
8846 Issued in RI
Practice address
593 Eddy St
Providence, RI 02903-4923
Phone
(401) 444-5174
Fax
(401) 432-2457
NPI assigned
Oct 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 8846 RI Primary
Diagnostic Radiology Physician 2085R0202X 160377 MA

Addresses

Primary practice location

593 Eddy St
Providence, RI 02903-4923

Mailing address

125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785
Phone (401) 480-4877

Other practice location 1

211 Park St
Attleboro, MA 02703-3143
Phone (508) 222-5200

Other identifiers 12

IdentifierTypeStateIssuer
3202348OtherHEALTHYSTART
003112985OtherCT MED ASSISTANCE
005210OtherBLUECHIP
1600203OtherUNITEDHEALTHPLANS
008846OtherBLUESHIELD
7004724OtherRIMEDICALASSISTANCE
000000001988OtherNHPRI
007004727OtherHOSPITALPIN
240067OtherRIHPILGRIM
3202348OtherMASSMEDICAID
720053301OtherCIGNA
008846OtherTUFTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120127000642 RI Practitioner - Diagnostic Radiology 6709043094 Reassigns benefits to 1 organization
I20240430003135 MA Practitioner - Diagnostic Radiology 6709043094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tufts University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rhode Island Medical Imaging IncGroup PAC ID 8022097815, 107 clinicians

Practice addresses (Care Compare)

1 Kettle Point Ave
East Providence, RI 02914-5375
Phone (401) 626-3900

1301 Reservoir Ave
Cranston, RI 02920-6034
Phone (401) 921-9316

1500 Mineral Spring Ave
North Providence, RI 02904-3130
Phone (401) 921-9314

1525 Wampanoag TRL
Suite 101
Riverside, RI 02915-1038
Phone (401) 433-1166

211 Park St
Attleboro, MA 02703-3143
Phone (508) 222-5200

250 Toll Gate Rd
Warwick, RI 02886-4411
Phone (401) 921-9315

333 School St
Suite 105
Pawtucket, RI 02860-5335
Phone (401) 728-3040

41 Sanderson Rd
Suite 109
Smithfield, RI 02917-2611
Phone (401) 921-9202

450 Veterans Memorial Pkwy
BLDG 2
East Providence, RI 02914-5300
Phone (401) 435-3041

481 Kingstown Rd
Wakefield, RI 02879-3626
Phone (401) 921-9202

65 Sockanosset Cross Rd
Cranston, RI 02920-5536
Phone (401) 921-9202

Hospital & facility affiliations

  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Newport Hospital Hospital, Newport, RI, CCN 410006
  • Women & Infants Hospital of Rhode Island Hospital, Providence, RI, CCN 410010

Merit-based Incentive Payment System (MIPS)

Final score
86.17 of 100Reported as group
Quality
82.44
Improvement activities
40
Cost
86.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8846RIMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Medical Imaging Inc Diagnostic Radiology CurrentSince Jun 26, 2022 Accepting new patients
Rhode Island Medical Imaging Inc Diagnostic Radiology CurrentSince Jul 1, 1995 Accepting new patients
Lifespan Corporation Current Accepting new patients

Locations

60 Messenger St
Plainville, MA 02762
Phone (508) 695-0055

211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200

20 Catamore Blvd
East Providence, RI 02914
Phone (401) 432-2520

593 Eddy St
Providence, RI 02903

1 Randall Sq
Providence, RI 02904
Phone (401) 272-5500

125 Metro Center Blvd
Ste 2000
Warwick, RI 02886
Phone (401) 432-2520

Interoperability endpoints

  • Direct secure messaging: mmainiero14548@brownhealth.medalliesdirect.net

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Miriam HospitalProvidence, RI, CCN 410012 Hospital Corporate Director Oct 16, 2019
Newport HospitalNewport, RI, CCN 410006 Hospital Corporate Director Oct 16, 2019
Newport HospitalNewport, RI, CCN 41S006 Hospital Corporate Director Oct 16, 2019
Newport HospitalNewport, RI, CCN 41T006 Hospital Corporate Director Oct 16, 2019
Rhode Island HospitalProvidence, RI, CCN 410007 Hospital Corporate Director Oct 16, 2019
Rhode Island HospitalProvidence, RI, CCN 41S007 Hospital Corporate Director Oct 16, 2019
Emma Pendleton Bradley HospitalRiverside, RI, CCN 414003 Hospital Corporate Director Oct 16, 2019
Brown University Health Saint Anne'S HospitalFall River, MA, CCN 22S020 Hospital Corporate Director Sep 9, 2024

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 7

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1891783759",
    "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": "401-480-4877",
            "fax_number": "401-432-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-5174",
            "fax_number": "401-432-2457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Park St",
            "address_purpose": "LOCATION",
            "city": "Attleboro",
            "state": "MA",
            "postal_code": "027033143",
            "country_code": "US",
            "telephone_number": "508-222-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAINIERO",
        "first_name": "MARTHA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "8846",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "160377",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHYSTART",
            "identifier": "3202348",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT MED ASSISTANCE",
            "identifier": "003112985",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP",
            "identifier": "005210",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHPLANS",
            "identifier": "1600203",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD",
            "identifier": "008846",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RIMEDICALASSISTANCE",
            "identifier": "7004724",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHPRI",
            "identifier": "000000001988",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPITALPIN",
            "identifier": "007004727",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RIHPILGRIM",
            "identifier": "240067",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSMEDICAID",
            "identifier": "3202348",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "720053301",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "008846",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.