Savannah Marcelino, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA01202 Issued in RI

Practice address

1524 Atwood Ave Ste 140
Johnston, RI 02919-3288

Phone

(401) 632-4520

NPI assigned

Nov 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in RI, MA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Orthopedics IncGroup PAC ID 9931000395, 185 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Miriam Hospital Hospital, Providence, RI, CCN 410012

Merit-based Incentive Payment System (MIPS)

Final score

82.13 of 100Reported as group

Quality

66.76

Promoting interoperability

96

Improvement activities

40

Cost

77

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: savannah.marcelino.1@13709.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/JGDFCA

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.

• University Orthopedics, Inc.

  • Orthopaedic Surgery Physician
  • Providence, RI
  • NPI 1235181041
  Medicare reassignment Care Compare group NPD
• University Orthopedics, Inc.

  • Orthopaedic Surgery Physician
  • Mansfield, MA
  • NPI 1013557727
  Medicare reassignment NPD
• University Orthopedics, Inc.

  • Orthopaedic Surgery Physician
  • Cranston, RI
  • NPI 1285320093
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Miriam Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1487649430
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1912542671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1119",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029011119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE STE 140",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193288",
            "telephone_number": "401-632-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELINO",
        "first_name": "SAVANNAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-16",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA01202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smarcelino@mghihp.edu",
            "affiliation": "N",
            "address_1": "127 Tyson Commons Ln",
            "city": "Braintree",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021848260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anthony Manocchio, MD
• Mansolillo Mansolillo & Mansolillo DDS
• Jeffrey Brian Mansolillo, DMD
• Manzolillo Family Chiropractic Center, Inc.
• Albert Joseph Marano, M.D.
• Allison Marchand
• Kiersten Marek
• Maria M. O'Toole, MD, LLC
• Shelly Marshall, LCSE
• Marzilli Chiropractic Center, LTD.

• Physician Assistant in Johnston, RI
• Providers in Johnston, RI by specialty
• Physician Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.