Michelle S Anvar, MD
Individual provider Active NPI Internal Medicine Physician · Riverside, RI
NPI 1992759260 · NPPES record last updated Sep 9, 2016
Key facts
- NPI
- 1992759260
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD10948 (RI)
- Practice address
- 375 Wampanoag TRL
Suite 301
Riverside, RI 02915-2232 - Phone
- (401) 649-4050
- Fax
- (401) 649-4051
- NPI assigned
- May 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Hahnemann University College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Coastal Medical Physicians Inc
Brown Medicine
Practice addresses (Care Compare)
375 Wampanoag TRL
Riverside, RI 02915-2232
Phone (401) 649-4000
Hospital & facility affiliations
- Amedisys Home Health Care
- The Miriam Hospital
- Rhode Island Hospital
- Kent County Memorial Hospital
- Women & Infants Hospital of Rhode Island
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040611001003 | RI | Practitioner - Internal Medicine | 2365425089 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Medical Physicians, Inc. | Internal Medicine | Current |
Accepting new patients |
| Brown Medicine | Current |
Accepting new patients | |
| Brown Medicine | Internal Medicine | Current |
Accepting new patients |
Locations
1454 S County Trl
East Greenwich, RI 02818
Phone (401) 606-1100
900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480
111 Plain St
Fl 3
Providence, RI 02903
Phone (401) 444-3355
17 Virginia Ave
Ste 107
Providence, RI 02905
Phone (401) 784-4923
593 Eddy St
Providence, RI 02903
2 Dudley St
Providence, RI 02905
Phone (401) 444-2299
375 Wampanoag Trl
Ste 301
Riverside, RI 02915
Phone (401) 649-4050
375 Wampanoag Trl
Riverside, RI 02915
Phone (401) 649-4010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD10948 | RI | Yes |
Addresses
Primary practice location
375 Wampanoag TRL
Suite 301
Riverside, RI 02915-2232
Mailing address
17 Virginia Ave
Suite 107
Providence, RI 02905-4406
Phone (401) 443-4992
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9022627 | Medicaid | RI | |
| 110245776 | Other | RI | RAILROAD |
Other providers in Riverside, RI
- Melissa Jean Aniello
- Annie'S Wellness LLC
- Sohaib Ansari
- Kailyn Anselment
- Tatiana Antoci
- Paul E Appelbaum
- Lindsey Arcand
- Patricia Arel
- Bekir Berker Artukoglu
- Caley Beth Arzamarski
All providers in Riverside, RI · Internal Medicine Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.