NPIMap

Individual provider Active NPI

Heather M Hurlburt, MD

  • Cardiovascular Disease Physician
  • Warwick, RI
National Provider Identifier
1932278322
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD12258 Issued in RI
Practice address
390 Toll Gate Rd
Suite 205
Warwick, RI 02886
Phone
(401) 921-6263
Fax
(401) 921-6569
NPI assigned
Nov 7, 2006
Last updated
Dec 7, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 220452 MA
Cardiovascular Disease Physician 207RC0000X 12258 RI
Cardiovascular Disease Physician 207RC0000X MD12258 RI Primary

Addresses

Primary practice location

390 Toll Gate Rd
Suite 205
Warwick, RI 02886

Mailing address

390 Toll Gate Rd
Suite 205
Warwick, RI 02886
Phone (401) 921-6263

Other identifiers 1

IdentifierTypeStateIssuer
6003626MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070613000637 RI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 9335247410 Reassigns benefits to 2 organizations
I20160122001915 MA Practitioner - Cardiovascular Disease (Cardiology) 9335247410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology
Education
Tufts University School of Dental Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12258RIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham & Womens Physicians Organization Inc CurrentSince Nov 14, 2015 Accepting new patients
Affinity Physicians LLC CurrentSince Aug 1, 2012 Accepting new patients
Brigham and Women's Hospital Current Accepting new patients
Affinity Physicians LLC. Cardiovascular Disease CurrentSince Aug 1, 2012 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince May 1, 2012 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince May 1, 2012 Accepting new patients
Southcoast Physicians Group, Inc. Past Accepting new patients
Brigham & Womens Hospital, Inc. Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

375 Boylston St
Brookline, MA 02445
Phone (508) 718-4010

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

101 Plain St
Fl 4
Providence, RI 02903
Phone (401) 729-2800

1076 N Main St
Providence, RI 02904
Phone (401) 273-2460

390 Toll Gate Rd
Ste 205
Warwick, RI 02886
Phone (401) 921-6263

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

455 Toll Gate Rd
#455
Warwick, RI 02886

Interoperability endpoints

  • Direct secure messaging: hhurlburt@direct.carene.org
  • Direct secure messaging: hhurlburt@kent.cernerdirect.carene.org
  • Direct secure messaging: hurlburt.heather.bwh@direct.partners.masshiway.net

Organizations & group practices 8

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 9

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1932278322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 TOLL GATE RD",
            "address_2": "SUITE 205",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "02886",
            "telephone_number": "401-921-6263",
            "fax_number": "401-921-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 TOLL GATE RD",
            "address_2": "SUITE 205",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "02886",
            "telephone_number": "401-921-6263",
            "fax_number": "401-921-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLBURT",
        "first_name": "HEATHER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "220452",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "RI",
            "license": "12258",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "RI",
            "license": "MD12258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003626",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.