Crescent Medical Center LLC
Organization Active NPI Internal Medicine Physician · Johnston, RI
NPI 1932076973 · NPPES record last updated Nov 20, 2025
Key facts
- NPI
- 1932076973
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- CRESCENT MEDICAL CENTER LLC
- Practice address
- 1308 Atwood Ave
Johnston, RI 02919-4936 - Phone
- (401) 227-9940
- Fax
- (401) 227-9939
- NPI assigned
- Oct 23, 2025
- Organization subpart
- No
Authorized official
- Name
- Syed I Hussain, MD
- Title
- President
- Phone
- (401) 524-6020
Practitioners 2
-
Raza Naqvi, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 41D2337183 | Crescent Medical Center | Certificate of waiver | Jan 19, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251216004043 | RI | Part B Supplier - Clinic/Group Practice | 3072008192 |
Receives reassigned benefits from 2 practitioners Practice locations: Johnston, RI; North Smithfield, RI |
National Provider Directory
Locations
1308 Atwood Ave
Unit 1
Johnston, RI 02919
Phone (401) 227-9940
1308 Atwood Ave
Johnston, RI 02919
Phone (401) 942-3996
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
1308 Atwood Ave
Johnston, RI 02919-4936
Mailing address
1308 Atwood Ave
Johnston, RI 02919-4936
Phone (401) 227-9940
Other practice location 1
63 Eddie Dowling Hwy Ste 1B
North Smithfield, RI 02896-7322
Phone (401) 227-9940
Other providers in Johnston, RI
- Matthew Conrad
- Consultants in Urology, Inc.
- Kimberley Cook
- Arthur J Corvese
- Julie Lynn Costa
- Hannah Creta
- Clinton C. Crete
- Dian Joan Cullion
- Stephanie Curry
- Cyril O. Burke III, M.D.
All providers in Johnston, RI · Internal Medicine Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.