NPIMap

Individual provider Active NPI

Amir Alizadeh,MD Inc., MD

  • Internal Medicine Physician
  • North Providence, RI
National Provider Identifier
1942333877
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD09932 Issued in RI
Practice address
1637 Mineral Spring Ave 107
North Providence, RI 02904-4042
Phone
(401) 354-4400
Fax
(401) 354-4474
NPI assigned
Mar 13, 2007
Last updated
Sep 8, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD09932 RI Primary

Addresses

Primary practice location

1637 Mineral Spring Ave 107
North Providence, RI 02904-4042

Mailing address

1637 Mineral Spring Ave 107
North Providence, RI 02904-4042
Phone (401) 354-4400

Other identifiers 1

IdentifierTypeStateIssuer
9020972MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20091215000306 RI Practitioner - Internal Medicine 0244370708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amir Alizadeh, MD, IncGroup PAC ID 1557401171, 2 clinicians

Practice addresses (Care Compare)

1637 Mineral Spring Ave
Suite 107
North Providence, RI 02904-4042
Phone (401) 354-4400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD09932RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amir Alizadeh, MD, Inc Internal Medicine CurrentSince May 1, 2003 Accepting new patients
Medicine and Long Term Care Associates, LLC Internal Medicine PastSince Jul 1, 2006 Accepting new patients

Locations

1637 Mineral Spring Ave
#10
North Providence, RI 02904
Phone (401) 354-4400

1637 Mineral Spring Ave
#10N
North Providence, RI 02904
Phone (401) 354-4400

1637 Mineral Spring Ave
Ste 107
North Providence, RI 02904
Phone (401) 354-4100

1637 Mineral Spring Ave
Ste 205
North Providence, RI 02904
Phone (401) 354-4400

Organizations & group practices 2

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 10

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1942333877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 MINERAL SPRING AVE 107",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044042",
            "telephone_number": "401-354-4400",
            "fax_number": "401-354-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 MINERAL SPRING AVE 107",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044042",
            "telephone_number": "401-354-4400",
            "fax_number": "401-354-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIZADEH,MD INC.",
        "first_name": "AMIR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD09932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9020972",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Providence, RI

Sources for this page

Verify at the official NPI Registry.