Individual provider Active NPI

Christopher M. Dimarco, M.D.

  • Dermatology Physician
  • Riverside, RI
National Provider Identifier
1922391150
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD15053 Issued in RI
Practice address
375 Wampanoag TRL Ste 401
Riverside, RI 02915-2237
Phone
(401) 444-7959
Fax
(401) 432-6997
NPI assigned
May 20, 2011
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD15053 RI Primary
Dermatopathology Physician 207ND0900X 282876 MA

Addresses

Primary practice location

375 Wampanoag TRL Ste 401
Riverside, RI 02915-2237

Mailing address

15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 444-6779

Other practice location 1

593 Eddy St
Providence, RI 02903
Phone (401) 444-5057

Other practice location 2

609 Albany Street
3rd Floor
Boston, MA 02118
Phone (617) 638-5566

Other identifiers 2

IdentifierTypeStateIssuer
110129030AMedicaidMA
1922391150MedicaidRI

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
I20150921001563 RI Practitioner - Dermatology 4688981848 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Boston University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Miriam HospitalGroup PAC ID 6901796408, 178 clinicians
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians
Brown Dermatology IncGroup PAC ID 3870872773, 28 clinicians
Rhode Island HospitalGroup PAC ID 8921900044, shared by 12 NPIs, 430 clinicians
Boston University Dermatology IncGroup PAC ID 7012803919, 15 clinicians

Practice addresses (Care Compare)

164 Summit Ave
Providence, RI 02906-2853
Phone (401) 793-7245

375 Wampanoag TRL
Suite 401
Riverside, RI 02915-2237
Phone (401) 444-7959

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-7959

593 Eddy St
Apc 138
Providence, RI 02903-4900
Phone (401) 444-5435

609 Albany St
FL 3
Boston, MA 02118-2515
Phone (617) 638-5566

930 Commonwealth Ave
Boston, MA 02215-1274
Phone (617) 414-6800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions93
Skin biopsy13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
282876MAMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Hospital CurrentSince Apr 30, 2019 Accepting new patients
Rhode Island Hospital CurrentSince Nov 7, 2022 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Sep 21, 2015 Accepting new patients
The Miriam Hospital CurrentSince Apr 30, 2019 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Sep 21, 2015 Accepting new patients
The Miriam Hospital CurrentSince Apr 30, 2019 Accepting new patients
Brown Dermatology, Inc. Dermatology CurrentSince Jul 1, 2017 Accepting new patients
The Miriam Hospital Current Accepting new patients
Rhode Island Hospital CurrentSince Apr 30, 2019 Accepting new patients
Skin Pathology Laboratory, Inc. Dermatopathology Past Accepting new patients
Boston University Dermatology, Inc. Dermatology PastSince Aug 1, 2016 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

110 Elm St
Providence, RI 02903
Phone (401) 443-4992

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

15 La Salle Sq
Providence, RI 02903

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

164 Summit Ave
Ste 2D
Providence, RI 02906

164 Summit Ave
Ste C
Providence, RI 02906
Phone (401) 793-2931

593 Eddy St
Providence, RI 02903

593 Eddy St
#10
Providence, RI 02903
Phone (401) 444-7024

593 Eddy St
#138
Providence, RI 02903
Phone (401) 444-5291

593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280

375 Wampanoag Trl
Ste 401
Riverside, RI 02915
Phone (401) 632-4455

65 Village Square Dr
Ste 201
South Kingstown, RI 02879
Phone (401) 444-7024

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

17 Wells St
Ste 203
Westerly, RI 02891
Phone (401) 348-0660

Organizations & group practices 11

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 5

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": "1305849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1922391150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LA SALLE SQ",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029031814",
            "telephone_number": "401-444-6779",
            "fax_number": "401-444-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 WAMPANOAG TRL STE 401",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029152237",
            "telephone_number": "401-444-7959",
            "fax_number": "401-432-6997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "593 Eddy St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "02903",
            "country_code": "US",
            "telephone_number": "401-444-5057",
            "fax_number": "401-444-8514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 Albany Street",
            "address_2": "3rd Floor",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02118",
            "country_code": "US",
            "telephone_number": "617-638-5566",
            "fax_number": "617-638-5575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMARCO",
        "first_name": "CHRISTOPHER",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-20",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "RI",
            "license": "MD15053",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "MA",
            "license": "282876",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110129030A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922391150",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, RI

Sources for this page

Verify at the official NPI Registry.