Maureen A Crotty, M.D.
Individual provider Active NPI Pediatrics Physician · Cumberland, RI
NPI 1942205331 · NPPES record last updated Nov 6, 2023
Key facts
- NPI
- 1942205331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD09809 (RI)
- Practice address
- 2 Meehan LN
Cumberland, RI 02864-1413 - Phone
- (401) 658-2525
- Fax
- (401) 658-3031
- NPI assigned
- Jun 14, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2016 through Jul 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160394 | MA | MD | Pediatrics Physician |
| MD09809 | RI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Just Kids R.I. Sick Care LLC | Pediatrics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 160394 | MA | |
| Pediatrics Physician | 208000000X | MD09809 | RI | Yes |
Addresses
Primary practice location
2 Meehan LN
Cumberland, RI 02864-1413
Mailing address
2 Meehan LN
Cumberland, RI 02864-1413
Phone (401) 658-2525
Other practice location 1
101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1122
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7006479 | Medicaid | RI | |
| PY01057 | Medicaid | RI |
Other providers in Cumberland, RI
- Concentra Primary Care PA
- Maria Corwin-Gotimer
- Courtney B Huard Ms Rd LDN, LLC
- Andre Covacha
- Keelin Elizabeth Covacha
- Cumberland Counseling, LLC
- Cumberland Dental Specialists Inc.
- Cumberland Family Eye Care, LTD.
- Cumberland Hill Eye Care LLC
- Cumberland Primary Care Inc
All providers in Cumberland, RI · Pediatrics 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 6, 2023. 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.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.