Individual provider Active NPI

Raymond F. Chaquette, M.D.

  • Hematology & Oncology Physician
  • Providence, RI
National Provider Identifier
1992706139
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD06739 Issued in RI
Practice address
235 Plain St
Suite 203
Providence, RI 02905-3240
Phone
(401) 272-9880
Fax
(401) 272-0840
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD06739 RI Primary

Addresses

Primary practice location

235 Plain St
Suite 203
Providence, RI 02905-3240

Mailing address

235 Plain St
Suite 203
Providence, RI 02905-3240
Phone (401) 272-9880

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
I20040517000246 RI Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Medical Oncology 8022008507 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD06739RIMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Chartercare RWMC, LLC Hematology & Oncology CurrentSince Jun 1, 2014 Accepting new patients
Prospect Chartercare Physicians, LLC Hematology & Oncology CurrentSince Jun 20, 2014 Accepting new patients
Prospect Chartercare RWMC, LLC CurrentSince Jun 1, 2014 Accepting new patients

Locations

1681 Cranston St
Cranston, RI 02920
Phone (401) 944-6889

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

235 Plain St
Providence, RI 02905
Phone (401) 272-9880

235 Plain St
Ste 203
Providence, RI 02905
Phone (401) 444-2701

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992706139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 PLAIN ST",
            "address_2": "SUITE 203",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053240",
            "telephone_number": "401-272-9880",
            "fax_number": "401-272-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 PLAIN ST",
            "address_2": "SUITE 203",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053240",
            "telephone_number": "401-272-9880",
            "fax_number": "401-272-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAQUETTE",
        "first_name": "RAYMOND",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "RI",
            "license": "MD06739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.