| NPI | 1134102841 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2005-11-28 |
| Last Updated | 2018-05-16 |
| Authorized Official | Antioan Kardous President Phone: 4019465001 |
| Mailing Address | 1145 Reservoir Ave, Ste 301 Cranston, RI 02920-6055 United States Phone: (401) 946-5001 | Fax: (401) 946-5101 📍 View Map |
| Primary Practice Address | 1145 Reservoir Ave, Ste 301 Cranston, RI 02920 United States Phone: (401) 946-5001 | Fax: (401) 946-5101 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | RI | 272209 | Blue Cross Blue Shield |
| Other (non-Medicare) | RI | 408195 | Blue Chip |
| MEDICAID | RI | 9003208 | — |
| Other (non-Medicare) | — | DB0254 | Railroad Medicare |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | RI | 10089 |
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About NPI 1134102841
Kardous Primary Care Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1134102841. The primary specialty listed is Internal Medicine. The organization is located in Cranston, RI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-11-28. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1134102841?
NPI 1134102841 belongs to Kardous Primary Care Inc, a Internal Medicine in Cranston, RI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1134102841 active?
The current status of NPI 1134102841 in the NPPES registry is Active. The record was last updated on 2018-05-16.
What specialty is NPI 1134102841?
NPI 1134102841 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1134102841?
You can verify NPI 1134102841 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1134102841?
The primary practice address on file for NPI 1134102841 is 1145 Reservoir Ave, Cranston, RI 02920. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1134102841 issued?
NPI 1134102841 was first issued (enumerated) on 2005-11-28. The NPPES record was last updated on 2018-05-16.
Practice Location Map
Kardous Primary Care Inc is located at 1145 Reservoir Ave, Cranston, RI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Kardous Primary Care Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1134102841. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | 10089 | RI |