Active NPI
Ara Sadaniantz, MD
- Cardiovascular Disease Physician
- Providence, RI
National Provider Identifier
1992766679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD06890
- Practice address
- One Randall Square
Suite 305
Providence, RI 02940-7405 - Phone
- (401) 223-0223
- Fax
- (401) 312-2099
- NPI assigned
- Mar 31, 2006
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD06890 | RI | Primary |
Addresses
Primary practice location
One Randall Square
Suite 305
Providence, RI 02940-7405
Mailing address
333 School Street
Suite 112
Pawtucket, RI 02860-5335
Phone (401) 723-1210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9006307 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040304000136 | RI | Practitioner - Cardiovascular Disease (Cardiology) | 8123915014 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD06890 | RI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blackstone Cardiology Associates | Cardiovascular Disease | Past | Accepting new patients |
| Cardiovascular Institute of New England PC | Cardiovascular Disease | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Pawtucket, RI
- NPI 1124101340
-
- Cardiovascular Disease Physician
- Lincoln, RI
- NPI 1699923656
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233619200000",
"number": "1992766679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 SCHOOL STREET",
"address_2": "SUITE 112",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028605335",
"telephone_number": "401-723-1210",
"fax_number": "401-312-2099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE RANDALL SQUARE",
"address_2": "SUITE 305",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029407405",
"telephone_number": "401-223-0223",
"fax_number": "401-312-2099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADANIANTZ",
"first_name": "ARA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2009-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "RI",
"license": "MD06890",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9006307",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.