Individual provider Active NPI

Jon K Lambrecht, MD

  • Cardiovascular Disease Physician
  • Pawtucket, RI
National Provider Identifier
1902945058
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD06639 Issued in RI
Practice address
407 East Ave
Suite 130
Pawtucket, RI 02860-5290
Phone
(401) 726-7770
Fax
(401) 726-7775
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD06639 RI Primary

Addresses

Primary practice location

407 East Ave
Suite 130
Pawtucket, RI 02860-5290

Mailing address

200 Mill Rd
Suite 180
Fairhaven, MA 02719-5252
Phone (508) 973-2000

Other identifiers 2

IdentifierTypeStateIssuer
1902945058MedicaidMA
7003350MedicaidRI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040204000585 RI Practitioner - Cardiovascular Disease (Cardiology) 3678466612 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Eastern Virginia Medical School, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Miriam HospitalGroup PAC ID 6901796408, 178 clinicians
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

Practice addresses (Care Compare)

1454 S County TRL
Suite 2000
East Greenwich, RI 02818-1750
Phone (401) 606-1100

593 Eddy St
Providence, RI 02903-4923
Phone (401) 793-9132

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD06639RIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Miriam Hospital Current Accepting new patients
Newport Hospital CurrentSince Mar 29, 2015 Accepting new patients
Rhode Island Hospital Cardiovascular Disease CurrentSince Jan 2, 2024 Accepting new patients
Newport Hospital CurrentSince Mar 29, 2015 Accepting new patients
Newport Hospital Current Accepting new patients
The Miriam Hospital Current Accepting new patients
Rhode Island Hospital CurrentSince Jan 2, 2024 Accepting new patients
The Miriam Hospital Cardiovascular Disease CurrentSince May 1, 2018 Accepting new patients
The Miriam Hospital CurrentSince May 1, 2018 Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients

Locations

152 Emory St
Attleboro, MA 02703
Phone (508) 222-6409

1454 S County Trl
Ste 2000
East Greenwich, RI 02818
Phone (401) 606-1100

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

1454 S County Trl
Ste 2200
East Greenwich, RI 02818
Phone (401) 444-8516

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

19 Friendship St
Unit 220
Newport, RI 02840
Phone (401) 848-5556

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

407 East Ave
Ste 130
Pawtucket, RI 02860
Phone (401) 475-2505

593 Eddy St
Bldg 1ST
Providence, RI 02903

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

146 W River St
#11A
Providence, RI 02904
Phone (401) 606-8250

593 Eddy St
#7
Providence, RI 02903
Phone (401) 444-3565

208 Collyer St
Ste 100
Providence, RI 02904
Phone (401) 793-7191

400 Bald Hill Rd
Warwick, RI 02886
Phone (401) 352-0005

Organizations & group practices 12

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 2

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1902945058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILL RD",
            "address_2": "SUITE 180",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195252",
            "telephone_number": "508-973-2000",
            "fax_number": "508-973-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 EAST AVE",
            "address_2": "SUITE 130",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605290",
            "telephone_number": "401-726-7770",
            "fax_number": "401-726-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBRECHT",
        "first_name": "JON",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "RI",
            "license": "MD06639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902945058",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003350",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.