Peter Michael Small, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD05276 Issued in RI

Practice address

200 High Service Avenue
St. Joseph Health Services of Rhode Island
North Providence, RI 02904

Phone

(401) 490-5365

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Continuum Care of Rhode Island, LLC

  • Community Based Hospice Care Agency
  • West Warwick, RI
  • NPI 1164948220

  Contracted Managing Employee

  CMS ownership

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.

• Prospect Chartercare Physicians, LLC

  • Internal Medicine Physician
  • Cranston, RI
  • NPI 1629493135

  Family Medicine

  Medicare reassignment NPD
• Prospect Chartercare Sjhsri, LLC

  • Internal Medicine Physician
  • North Providence, RI
  • NPI 1588089759
  Medicare reassignment NPD
• Prospect Chartercare Sjhsri, LLC

  • General Acute Care Hospital
  • North Providence, RI
  • NPI 1871918870
  NPD

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1972557346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1340",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "028131340",
            "telephone_number": "401-788-8212",
            "fax_number": "401-788-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGH SERVICE AVENUE",
            "address_2": "ST. JOSEPH HEALTH SERVICES OF RHODE ISLAND",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "02904",
            "telephone_number": "401-490-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "PETER",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD05276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8002001",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Elizabeth Silva
• Silver Fern Practice, LLC
• Steven Wayne Silverberg, DMD
• Kevin Silvestre, PHARMD
• Melissa Simonian
• Smile Rhode Island, PLLC
• Jarred Smith, PT
• Molly Elizabeth Smith, PT
• Rayne Gene Smyth, P.T.
• Julie Emily Soares, COTA/L

• Family Medicine Physician in North Providence, RI
• Providers in North Providence, RI by specialty
• Family Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.