Individual provider Active NPI

Deus Cielo, MD

  • Neurological Surgery Physician
  • Providence, RI
National Provider Identifier
1912957572
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD10148 Issued in RI
Practice address
55 Claverick St
Suite 100
Providence, RI 02903-4144
Phone
(401) 490-4130
Fax
(401) 455-1292
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD10148 RI Primary

Addresses

Primary practice location

55 Claverick St
Suite 100
Providence, RI 02903-4144

Mailing address

PO Box 845384
Boston, MA 02284-5384
Phone (401) 455-1749

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
I20060907000311 RI Practitioner - Neurosurgery 0941204838 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Warren Alpert Medical School of Brown University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

Practice addresses (Care Compare)

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion42
Laminectomy or laminotomy (partial removal of spine bones)13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Hospital CurrentSince Jan 24, 2024 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Mar 29, 2015 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Mar 29, 2015 Accepting new patients
Lifespan Corporation Current Accepting new patients
Rhode Island Hospital CurrentSince Jan 24, 2024 Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients

Locations

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

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

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

593 Eddy St
Providence, RI 02903

593 Eddy St
Bldg 6TH
Providence, RI 02903
Phone (401) 444-8362

593 Eddy St
#6
Providence, RI 02903
Phone (401) 793-9166

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

55 Claverick St
Ste 100
Providence, RI 02903
Phone (401) 455-1749

2 Dudley St
Ste 555
Providence, RI 02905
Phone (401) 444-4169

Interoperability endpoints

  • Direct secure messaging: dcielo9386@brownhealth.medalliesdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1912957572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845384",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022845384",
            "telephone_number": "401-455-1749",
            "fax_number": "401-455-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CLAVERICK ST",
            "address_2": "SUITE 100",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034144",
            "telephone_number": "401-490-4130",
            "fax_number": "401-455-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIELO",
        "first_name": "DEUS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "RI",
            "license": "MD10148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.