Individual provider Active NPI

Altin Pani, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Providence, RI
National Provider Identifier
1912174897
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
MD13846 Issued in RI
Practice address
101 Plain St Ste 101
Providence, RI 02903-4828
Phone
(401) 274-5844
NPI assigned
May 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD13846 RI
Retina Specialist (Ophthalmology) Physician 207WX0107X MD13846 RI Primary

Addresses

Primary practice location

101 Plain St Ste 101
Providence, RI 02903-4828

Mailing address

101 Plain St Ste 101
Providence, RI 02903-4828
Phone (401) 274-5844

Other practice location 1

175 Nate Whipple Hwy
Cumberland, RI 02864-1416
Phone (401) 658-0047

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address apani@rcri.intellechartdirect.net Health Information Exchange (HIE)
Direct Messaging Address apani@rcri.intellechartdirect.net Health Information Exchange (HIE)
Direct Messaging Address apani@rcri.intellechartdirect.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101214000735 MA Practitioner - Ophthalmology 4082801253 Reassigns benefits to 1 organization
I20120829000287 RI Practitioner - Ophthalmology 4082801253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Geisel School of Medicine at Dartmouth, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants IncGroup PAC ID 0749295525, 2 clinicians

Practice addresses (Care Compare)

101 Plain St
Providence, RI 02903-4828
Phone (401) 274-5844

1130 Ten Rod Rd
F104
North Kingstown, RI 02852-4170
Phone (401) 274-5844

440 Swansea Mall Dr
Swansea, MA 02777-4114
Phone (508) 324-1171

Hospital & facility affiliations

  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD13846RIMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. CurrentSince Jul 8, 2020 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jul 8, 2020 Accepting new patients
Retina Consultants Inc Ophthalmology CurrentSince Aug 1, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

440 Swansea Mall Dr
Swansea, MA 02777
Phone (508) 324-1171

175 Nate Whipple Hwy
Cumberland, RI 02864
Phone (401) 405-0700

175 Nate Whipple Hwy
Ste 107
Cumberland, RI 02864
Phone (401) 333-0680

1130 Ten Rod Rd
Ste F104
North Kingstown, RI 02852
Phone (401) 274-5844

1130 Rod Rd
#F104
North Kingstown, RI 02852
Phone (401) 274-5844

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

1 Hoppin St
Ste 202
Providence, RI 02903
Phone (401) 444-6551

690 Eddy St
Providence, RI 02903
Phone (401) 274-5844

101 Plain St
Ste 101
Providence, RI 02903
Phone (401) 274-5844

Interoperability endpoints

  • Direct secure messaging: apani@rcri.intellechartdirect.net

Organizations & group practices 4

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 4

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": "1210377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1912174897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PLAIN ST STE 101",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034828",
            "telephone_number": "401-274-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PLAIN ST STE 101",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034828",
            "telephone_number": "401-274-5844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Nate Whipple Hwy",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "RI",
            "postal_code": "028641416",
            "country_code": "US",
            "telephone_number": "401-658-0047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANI",
        "first_name": "ALTIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-10",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "RI",
            "license": "MD13846",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "RI",
            "license": "MD13846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apani@rcri.intellechartdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 Plain St Ste 101",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029034828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apani@rcri.intellechartdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 Plain St Ste 101",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029034828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apani@rcri.intellechartdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 Plain St Ste 101",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029034828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.