Organization Active NPI

Crescent Medical Center LLC

  • Internal Medicine Physician
  • Johnston, RI
National Provider Identifier
1932076973
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 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
Last updated
Nov 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Syed I Hussain, MDNPI 1144285081
Title
President
Phone
(401) 524-6020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251216004043 RI Part B Supplier - Clinic/Group Practice 3072008192 Receives reassigned benefits from 2 practitioners
Practice locations: Johnston, RI; North Smithfield, RI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
41D2337183Crescent Medical Center1308 Atwood Ave, Johnston, RI 02919Certificate of waiverJan 19, 2028

National Provider Directory

National Provider Directory

Locations

1308 Atwood Ave
Johnston, RI 02919
Phone (401) 942-3996

1308 Atwood Ave
Unit 1
Johnston, RI 02919
Phone (401) 227-9036

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1932076973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 ATWOOD AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029194936",
            "telephone_number": "401-227-9940",
            "fax_number": "401-227-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 ATWOOD AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029194936",
            "telephone_number": "401-227-9940",
            "fax_number": "401-227-9939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "63 Eddie Dowling Hwy Ste 1B",
            "address_purpose": "LOCATION",
            "city": "North Smithfield",
            "state": "RI",
            "postal_code": "028967322",
            "country_code": "US",
            "telephone_number": "401-227-9940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRESCENT MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-524-6020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.