Active NPI
Daniel Leonard Regan, MD
- Family Medicine Physician
- Johnston, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- RI6534
- Practice address
- 1526 Atwood Ave
Suite 100
Johnston, RI 02919 - Phone
- (401) 273-9400
- Fax
- (401) 273-2339
- NPI assigned
- Aug 22, 2006
- Last updated
- Mar 23, 2018
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | RI6534 | RI | Primary |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | MD06534 | RI |
Addresses
Primary practice location
1526 Atwood Ave
Suite 100
Johnston, RI 02919
Mailing address
1526 Atwood Ave
Suite 100
Johnston, RI 02919
Phone (401) 273-9400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7007002 | Medicaid | RI |
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
Care Compare profile
Medicare Care Compare- Specialty
- Addiction Medicine
- Education
- Other, 1976
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1524 Atwood Ave
Suite 122
Johnston, RI 02919-3228
Phone (401) 273-9400
300 Toll Gate Rd
Warwick, RI 02886-4416
Phone (401) 431-9024
5750 Post Rd
East Greenwich, RI 02818-2139
Phone (401) 398-8760
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RI6534 | RI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D Regan LLC | Addiction Medicine | Current | Accepting new patients |
| Atmed Treatment Center, Inc. | Current | Accepting new patients | |
| The Journey to Hope, Health & Healing, Inc | Past | Accepting new patients | |
| Atwood Medical Associates LTD | Past | Accepting new patients |
Locations
1524 Atwood Ave
Ste 122
Johnston, RI 02919
Phone (401) 273-9400
1526 Atwood Ave
Ste 100
Johnston, RI 02919
Phone (401) 273-9400
300 Toll Gate Rd
Ste LL5
Warwick, RI 02886
Phone (401) 431-9024
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Johnston, RI
- NPI 1558490151
-
- Pulmonary Disease Physician
- Johnston, RI
- NPI 1558386227
-
- Methadone Clinic
- Johnston, RI
- NPI 1033259478
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Our Lady of Fatima Hospital
- General Acute Care Hospital
- North Providence, RI
- NPI 1871918870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521763200000",
"number": "1972619864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1526 ATWOOD AVE",
"address_2": "SUITE 100",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "02919",
"telephone_number": "401-273-9400",
"fax_number": "401-273-2339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1526 ATWOOD AVE",
"address_2": "SUITE 100",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "02919",
"telephone_number": "401-273-9400",
"fax_number": "401-273-2339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGAN",
"first_name": "DANIEL",
"middle_name": "LEONARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2018-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "RI",
"license": "RI6534",
"primary": true
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "RI",
"license": "MD06534",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7007002",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnston, RI
- Nikolas Raufi, MD
- Cassie Rawcliffe, LMT
- Re-Focus Inc.
- Reasonable & Attainable Counseling Services LLC
- Alyssa Elena Rebussini, PA-C
- Rajeswari Rengarajan
- Revo Physical Therapy LLC
- Rhode Island Audiology & Hearing Aid Centers, Inc.
- Rhode Island Chiropractic Pain Control Clinic, Inc.
- Rhode Island CVS Pharmacy LLC (CVS Pharmacy # 02238)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.