Active NPI
Louis Vincent Colavecchio, M.D.
- Dermatology Physician
- Narragansett, RI
National Provider Identifier
1972597003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 5440
- Practice address
- 360 Kingstown Rd
Narragansett, RI 02882-3239 - Phone
- (401) 789-9911
- Fax
- (401) 789-3106
- NPI assigned
- Sep 5, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 5440 | RI | Primary |
Addresses
Primary practice location
360 Kingstown Rd
Narragansett, RI 02882-3239
Mailing address
360 Kingstown Rd
Narragansett, RI 02882-3239
Phone (401) 789-9911
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0300142 | Other | UNITED HEALTHCARE | |
| LC00179 | Medicaid | RI | |
| 766-1 | Other | RI | BLUE CROSS BLUE SHIELD |
| 000491 | Other | RI | BLUE CHIP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5440 | RI | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1972597003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 KINGSTOWN RD",
"city": "NARRAGANSETT",
"state": "RI",
"postal_code": "028823239",
"telephone_number": "401-789-9911",
"fax_number": "401-789-3106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 KINGSTOWN RD",
"city": "NARRAGANSETT",
"state": "RI",
"postal_code": "028823239",
"telephone_number": "401-789-9911",
"fax_number": "401-789-3106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLAVECCHIO",
"first_name": "LOUIS",
"middle_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "RI",
"license": "5440",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0300142",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LC00179",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "766-1",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "000491",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Narragansett, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.