Active NPI
Daniel K Asiedu, MD
- Internal Medicine Physician
- Lincoln, RI
National Provider Identifier
1932164589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD09803
- Practice address
- 6 Blackstone Valley PL
Suite 701
Lincoln, RI 02865-1179 - Phone
- (401) 333-3111
- Fax
- (401) 334-1217
- NPI assigned
- Apr 18, 2006
- Last updated
- Jul 24, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD09803 | RI | Primary |
Addresses
Primary practice location
6 Blackstone Valley PL
Suite 701
Lincoln, RI 02865-1179
Mailing address
10 Davol SQ
Suite 400
Providence, RI 02903-4754
Phone (401) 421-4000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1190030921 | Other | MEDICARE | |
| 7006478 | Medicaid | RI |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343088000000",
"number": "1932164589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 DAVOL SQ",
"address_2": "SUITE 400",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034754",
"telephone_number": "401-421-4000",
"fax_number": "401-272-1456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 BLACKSTONE VALLEY PL",
"address_2": "SUITE 701",
"city": "LINCOLN",
"state": "RI",
"postal_code": "028651179",
"telephone_number": "401-333-3111",
"fax_number": "401-334-1217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASIEDU",
"first_name": "DANIEL",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2012-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD09803",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1190030921",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7006478",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.