THOMAS D DENUCCI M.D.
NPI 1033291570
Internal Medicine - Gastroenterology in Riverside, RI

NPI Status: Active since October 20, 2006

Contact Information

375 WAMPANOAG TRL
SUITE 202A
RIVERSIDE, RI
ZIP 02915
Phone: (401) 649-4030
Fax: (401) 649-4031

NPI Profile Information
Primary Taxonomy
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Internal Medicine
Gastroenterology
PECOS Enrolled

About THOMAS DENUCCI

This page provides the complete NPI Profile along with additional information for Thomas Denucci, an internist established in Riverside, Rhode Island with a medical specialization in Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1033291570 assigned on October 2006. The practitioner's primary taxonomy code is 207RG0100X with license number MD05973 (RI). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI: 1033291570
Provider Name: THOMAS D DENUCCI M.D.
Gender: Male
Entity Type: Individual
Location Address: 375 WAMPANOAG TRL SUITE 202A RIVERSIDE, RI 02915
Location Phone: (401) 649-4030
Location Fax: (401) 649-4031
Mailing Address: 17 VIRGINIA AVE SUITE 107 PROVIDENCE, RI 02905
Is Sole Proprietor?: No
Enumeration Date: 10-20-2006
Last Update Date: 07-27-2016
Code Navigator

An internist like Thomas Denucci is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

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: Internal Medicine Gastroenterology
Taxonomy Code: 207RG0100X
Type: Allopathic & Osteopathic Physicians
License No.: MD05973
License State: RI
Taxonomy Description: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Medicare Participation & PECOS Enrollment Status

Thomas Denucci is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 02915 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

Average New Patient Price $134.17
Minimum New Patient Price $58.57
Maximum New Patient Price $177.03

Average New Patient Copayment $33.54
Minimum New Patient Copayment $14.64
Maximum New Patient Copayment $44.25

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $103.1
Minimum Established Patient Price $18.92
Maximum Established Patient Price $144.38

Average Established Patient Copayment $25.77
Minimum Established Patient Copayment $4.73
Maximum Established Patient Copayment $36.09

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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.
1	0	3	3	2	9	1	5	7	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	6	3	4	9	2	5	14
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 4 + 9 + 2 + 5 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1033291570 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.

MARINA F RODRIGUEZ MD

Internal Medicine

375 WAMPANOAG TRL
SUITE 201
RIVERSIDE, RI
ZIP 02915

About THOMAS DENUCCI

Location Map

Specialty - Primary Taxonomy

Internal Medicine Gastroenterology

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): Yes

Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Reviews for THOMAS D DENUCCI M.D.

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

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