Active NPI
Syed R Mehdi, MD
- Internal Medicine Physician
- Woonsocket, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD09521
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD09521 | RI | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Healthcare Services Landmark LLC | Current | Accepting new patients | |
| Prime Healthcare Services Landmark LLC | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | 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
- 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.
-
- Hematology & Oncology Physician
- Woonsocket, RI
- NPI 1518388651
RI
-
- General Acute Care Hospital
- Woonsocket, RI
- NPI 1699752923
-
- Psychiatry Physician
- Providence, RI
- NPI 1548506793
-
- Anesthesiology Physician
- Providence, RI
- NPI 1053782466
-
- Urgent Care Clinic/Center
- Warwick, RI
- NPI 1285191163
-
- Orthopaedic Surgery Physician
- Woonsocket, RI
- NPI 1457772543
-
- Physical Medicine & Rehabilitation Physician
- Woonsocket, RI
- NPI 1700207842
-
- Psychiatric Hospital Unit
- Woonsocket, RI
- NPI 1396722666
-
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
-
- Specialist
- Woonsocket, RI
- NPI 1649384355
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 IncPrime Healthcare Services Landmark LLC
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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.