NPIMap

Individual provider Active NPI

Tina Rizack, M.D., M.P.H.

  • Hematology & Oncology Physician
  • Wakefield, RI
National Provider Identifier
1932198082
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD10782 Issued in RI
Practice address
85 Kenyon Ave
Wakefield, RI 02879-4213
Phone
(401) 783-6670
Fax
(401) 789-4990
NPI assigned
Oct 20, 2005
Last updated
Oct 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 217542 MA
Internal Medicine Physician 207R00000X MD10782 RI
Hematology & Oncology Physician 207RH0003X MD10782 RI Primary

Addresses

Primary practice location

85 Kenyon Ave
Wakefield, RI 02879-4213

Mailing address

PO Box 229
Wakefield, RI 02880-0229
Phone (401) 788-3337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061025000310 MA Practitioner - Internal Medicine 4385641950 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Emory University School of Medicine, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

795 Middle St
Fall River, MA 02721-1733
Phone (508) 674-5600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
217542MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan of Massachusetts - Fall River Inc CurrentSince Oct 22, 2024 Accepting new patients
Lifespan Physician Group of Massachusetts Inc Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Steward St. Anne's Hospital Corporation CurrentSince Nov 23, 2022 Accepting new patients
Lifespan of Massachusetts - Fall River Inc Hematology & Oncology CurrentSince Oct 22, 2024 Accepting new patients
Rehabilitation Medical Associates, P.C. Internal Medicine PastSince May 26, 2024 Accepting new patients
Women & Infants Hospital of Rhode Island Past Accepting new patients

Locations

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255

Interoperability endpoints

  • Direct secure messaging: trizack@kent.cernerdirect.carene.org

Organizations & group practices 6

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 8

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1932198082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028800229",
            "telephone_number": "401-788-3337",
            "fax_number": "401-783-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 KENYON AVE",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794213",
            "telephone_number": "401-783-6670",
            "fax_number": "401-789-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZACK",
        "first_name": "TINA",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "217542",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD10782",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "RI",
            "license": "MD10782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

Verify at the official NPI Registry.