Individual provider Active NPI

Syed R Mehdi, MD

  • Internal Medicine Physician
  • Woonsocket, RI
National Provider Identifier
1962439786
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD09521 Issued in RI
Practice address
450 Clinton Street
Thundermist Health Center
Woonsocket, RI 02895
Phone
(401) 767-4100
Fax
(401) 235-6893
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD09521 RI
Internal Medicine Physician 207R00000X MD09521 RI Primary

Addresses

Primary practice location

450 Clinton Street
Thundermist Health Center
Woonsocket, RI 02895

Mailing address

191 Social Street
Thundermist Health Center
Woonsocker, RI 02895
Phone (401) 767-4163

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
I20040913000808 RI Practitioner - Internal Medicine 1658348347 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD09521RIMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services Landmark LLC CurrentSince Mar 1, 2021 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Mar 1, 2021 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Dec 1, 2017 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Dec 1, 2017 Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients
Prime Healthcare Services Landmark LLC Internal Medicine Past Accepting new patients
Cardiology Associates, Inc. Past Accepting new patients
Cai Internal Medicine Internal Medicine Past Accepting new patients
Thundermist Health Center Past Accepting new patients
Thundermist Health Center Past Accepting new patients
Park Medical Associates, LLC Internal Medicine Past Accepting new patients

Locations

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

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

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

400 Putnam Pike
Ste 511
Smithfield, RI 02917

20 Cumberland Hill Rd
Unit 202
Woonsocket, RI 02895
Phone (401) 488-4003

20 Cumberland Hill Rd
Unit 206
Woonsocket, RI 02895
Phone (401) 766-1785

255 Cass Ave
Woonsocket, RI 02895
Phone (401) 762-5599

115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701

Interoperability endpoints

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

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifespan Physician Group Inc 1,151 clinicians
Prime Healthcare Services Landmark LLC 48 clinicians

Practice addresses (Care Compare)

11 Friendship St
Newport, RI 02840-2209
Phone (401) 846-6400

115 Cass Ave
Woonsocket, RI 02895-4705
Phone (401) 769-4100

185 A High Service Ave
North Providence, RI 02904-5114
Phone (401) 354-6050

185 High Service Ave
North Providence, RI 02904-5114
Phone (401) 354-6050

Hospital & facility affiliations

  • Newport Hospital Hospital, Newport, RI, CCN 410006

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336521600000",
    "number": "1962439786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 SOCIAL STREET",
            "address_2": "THUNDERMIST HEALTH CENTER",
            "city": "WOONSOCKER",
            "state": "RI",
            "postal_code": "02895",
            "telephone_number": "401-767-4163",
            "fax_number": "401-767-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLINTON STREET",
            "address_2": "THUNDERMIST HEALTH CENTER",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "02895",
            "telephone_number": "401-767-4100",
            "fax_number": "401-235-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHDI",
        "first_name": "SYED",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2012-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "RI",
            "license": "MD09521",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD09521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

Verify at the official NPI Registry.