Individual provider Active NPI

Edward B Dugas, MD

  • Gastroenterology Physician
  • Wakefield, RI
National Provider Identifier
1922099472
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
RI07261 Issued in RI
Practice address
70 Kenyon Ave Unit 324
Wakefield, RI 02879-4253
Phone
(401) 782-1199
Fax
(401) 782-1120
NPI assigned
Nov 3, 2005
Last updated
Aug 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X RI07261 RI Primary

Addresses

Primary practice location

70 Kenyon Ave Unit 324
Wakefield, RI 02879-4253

Mailing address

70 Kenyon Ave Unit 324
Wakefield, RI 02879-4253
Phone (401) 782-1199

Other identifiers 5

IdentifierTypeStateIssuer
2900262OtherUNITED HEALTHCARE OF NEW ENGLAND, INC.
9025424MedicaidRI
254241OtherRIBCBS
0004418722OtherAETNA
761747OtherFIRST HEALTH LIFE AND HEALTH INSURANCE CO.

Other names 1

  • E Brien Dugas Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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
RI07261RIMDGastroenterology Physician

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1922099472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 KENYON AVE UNIT 324",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794253",
            "telephone_number": "401-782-1199",
            "fax_number": "401-782-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 KENYON AVE UNIT 324",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794253",
            "telephone_number": "401-782-1199",
            "fax_number": "401-782-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGAS",
        "first_name": "EDWARD",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "RI",
            "license": "RI07261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE OF NEW ENGLAND, INC.",
            "identifier": "2900262",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9025424",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "254241",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004418722",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH LIFE AND HEALTH INSURANCE CO.",
            "identifier": "761747",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "E",
            "last_name": "DUGAS",
            "middle_name": "BRIEN",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wakefield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.