Individual provider Active NPI

Angelo Dicenso, M.D.

  • Internal Medicine Physician
  • Johnston, RI
National Provider Identifier
1952395022
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7566 Issued in RI
Practice address
1524 Atwood Ave
Suite 445
Johnston, RI 02919-3228
Phone
(401) 453-2190
NPI assigned
Sep 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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 7566 RI Primary

Addresses

Primary practice location

1524 Atwood Ave
Suite 445
Johnston, RI 02919-3228

Mailing address

1524 Atwood Ave
Suite 445
Johnston, RI 02919-3228
Phone (401) 453-2190

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040517001031 RI Practitioner - Internal Medicine 0143210534 Practice locations: Johnston, RI

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1524 Atwood Ave
Suite 445
Johnston, RI 02919-3228
Phone (401) 453-2190

Hospital & facility affiliations

  • Elara Caring Home health agency, Warwick, RI, CCN 417035
  • Amedisys Home Health Care Home health agency, Warwick, RI, CCN 417036
  • Concord Health Services Home health agency, Cranston, RI, CCN 417049
  • Our Lady of Fatima Hospital Hospital, North Providence, RI, CCN 410005
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009
  • South County Hospital Inc Hospital, Wakefield, RI, CCN 410008
  • Women & Infants Hospital of Rhode Island Hospital, Providence, RI, CCN 410010

Merit-based Incentive Payment System (MIPS)

Final score
85.64 of 100Reported as individual
Quality
59.87
Promoting interoperability
99
Improvement activities
40
Cost
93.1

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7566RIMDInternal Medicine Physician

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJBEAD/Endpoint/EJBEAD

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": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1952395022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE",
            "address_2": "SUITE 445",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-453-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE",
            "address_2": "SUITE 445",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-453-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICENSO",
        "first_name": "ANGELO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "7566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

Verify at the official NPI Registry.