ROGER WILLIAMS RADIATION THERAPY, LLC
NPI 1013078450
Radiology - Radiation Oncology in Providence, RI

NPI Status: Active since December 12, 2006

Contact Information

50 MAUDE ST
PROVIDENCE, RI
ZIP 02908
Phone: (401) 456-2690
Fax: (401) 456-6540

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  • Organization
  • Radiology
  • Radiation Oncology
  • CLIA Number: 41D0663777
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-08-2027

About ROGER WILLIAMS RADIATION THERAPY, LLC

This page provides the complete NPI Profile along with additional information for Roger Williams Radiation Therapy, Llc, a provider established in Providence, Rhode Island operating as a Radiology, focusing in radiation oncology . The healthcare provider is registered in the NPI registry with number 1013078450 assigned on December 2006. The practitioner's primary taxonomy code is 2085R0001X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Robert L Hiatt (Cfo)

NPI
1013078450
Provider Name
ROGER WILLIAMS RADIATION THERAPY, LLC
Entity Type
Organization
Location Address
50 MAUDE ST PROVIDENCE, RI 02908
Location Phone
(401) 456-2690
Location Fax
(401) 456-6540
Mailing Address
50 MAUDE ST PROVIDENCE, RI 02908
Mailing Phone
(401) 456-2690
Mailing Fax
(401) 456-6540
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-12-2006
Last Update Date
11-19-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Radiation Oncology

Taxonomy Code
2085R0001X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBERT L HIATT

Authorized Official Title
CFO
Authorized Official Phone
(630) 936-8828

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1013078MEDICAID (05)RI 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
41D0663777
Facility Type
Hospital
Certificate Effective Date
February 09, 2025
Certificate Expiration Date
February 08, 2027
Laboratory Director
DR. HASHEM AYYAD
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Roger Williams Radiation Therapy, Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for ROGER WILLIAMS RADIATION THERAPY, LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013078450
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20230716410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 7 + 1 + 6 + 4 + 1 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1013078450 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922096981 MARTHA W FELDMANN NP
Individual
Nurse Practitioner50 MAUDE ST
PROVIDENCE, RI 02908
(401) 456-6510
1619934254DR. GAIL SKOWRON M.D.
Individual
Internal Medicine (Infectious Disease)50 MAUDE ST
PROVIDENCE, RI 02908
(401) 456-2437
1750348157DR. R. JAMES KONESS M.D.
Individual
Surgery50 MAUDE ST
PROVIDENCE, RI 02908
(401) 456-2441
1922065200DR. NABIL ANIS TOUBIA M.D.
Individual
Internal Medicine (Gastroenterology)50 MAUDE ST
PROVIDENCE, RI 02908
(401) 456-6510
1780641084DR. JOSEPH RALPH TUCCI M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)50 MAUDE ST
PROVIDENCE, RI 02908
(401) 456-5716
1982661021DR. HARALD ALEXANDER HALL M.D.
Individual
Internal Medicine (Rheumatology)50 MAUDE ST
PROVIDENCE, RI 02908
(401) 456-2157
1699733352DR. BERNARD ZIMMERMANN M.D.
Individual
Internal Medicine (Rheumatology)50 MAUDE ST
PROVIDENCE, RI 02908
(401) 456-2595
1144270398 ELINA GOMAN BASKIN O.D.
Individual
Optometrist50 MAUDE ST
PROVIDENCE, RI 02908
(401) 351-5664
1356392484 THOMAS PAUL CESARO O.D.
Individual
Optometrist50 MAUDE ST
PROVIDENCE, RI 02908
(401) 351-5664
1972556066DR. JOSEPH VINCENT MEHARG M.D.
Individual
Internal Medicine (Pulmonary Disease)50 MAUDE ST
PROVIDENCE, RI 02908
(401) 456-2100
1548214299DR. ANDREA MARY DOYLE M.D.
Individual
Surgery (Plastic and Reconstructive Surgery)50 MAUDE ST 2ND FLOOR
PROVIDENCE, RI 02908
(401) 456-2440
1609820604 SATORI IWAMOTO M.D.
Individual
Dermatology50 MAUDE ST
PROVIDENCE, RI 02908
(401) 456-2327
1164467221ELMHURST EXTENDED CARE FACILITIES, INC.
Organization
Skilled Nursing Facility50 MAUDE ST
PROVIDENCE, RI 02908
(401) 456-2623
1912939596 JANET L BERARD N.P.
Individual
Nurse Practitioner50 MAUDE ST 4TH FLOOR
PROVIDENCE, RI 02908
(401) 456-5300
1386662484 MARY A SULLIVAN PCNS
Individual
Nurse Practitioner (Gerontology)50 MAUDE ST
PROVIDENCE, RI 02908
(401) 456-2000
1225041361 NOCIF JOSEPH ESPAT
Individual
Surgery50 MAUDE ST 2ND FLOOR
PROVIDENCE, RI 02908
(401) 456-2441
1538275433DR. CLAIRE MESSINA O.D.
Individual
Optometrist50 MAUDE ST PROVIDENCE EYE ASSOCIATES
PROVIDENCE, RI 02908
(401) 351-5664
1619036589PROVIDENCE EYE ASSOCIATES, INC.
Organization
Optometrist50 MAUDE ST
PROVIDENCE, RI 02908
(401) 351-5664
1538212923 PONNANDAI S SOMASUNDAR MD
Individual
Surgery50 MAUDE ST
PROVIDENCE, RI 02908
(401) 456-2441
1275793044DR. STEVEN C KATZ M.D.
Individual
Surgery (Surgical Oncology)50 MAUDE ST
PROVIDENCE, RI 02908
(401) 456-2440

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013078450, enumerated in the NPI registry as an "organization" on December 12, 2006

The provider is located at 50 Maude St Providence, Ri 02908 and the phone number is (401) 456-2690

This medical organization specializes in Radiology with taxonomy code 2085R0001X with a focus in Radiation Oncology

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 41D0663777 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on December 12, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.