Individual provider Active NPI

Daniel Leonard Regan, MD

  • Family Medicine Physician
  • Johnston, RI
National Provider Identifier
1972619864
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RI6534 Issued in RI
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7007002MedicaidRI

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
I20120201000292 RI Practitioner - Addiction MedicinePractitioner - Family Practice 8729245824 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Addiction Medicine
Education
Other, 1976
Medicare assignment
May accept Medicare assignment
Group practices
Atmed Treatment Center, Inc.Group PAC ID 4587655543, 11 clinicians

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

LicenseStateTypeSpecialty
RI6534RIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
D Regan LLC Addiction Medicine CurrentSince Sep 10, 2023 Accepting new patients
Atmed Treatment Center, Inc. CurrentSince Mar 7, 1999 Accepting new patients
The Journey to Hope, Health & Healing, Inc PastSince Jan 1, 2020 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.

Hospital & facility affiliations 1

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

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

Sources for this page

Verify at the official NPI Registry.