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KNIGHTSVILLE INTERNAL MEDICINE
NPI 1124217674
Internal Medicine in Cranston, RI

Active since October 22, 2007CLIA 41D0713389 · Microscopy
1681 CRANSTON ST, SUITE D, CRANSTON, RI 02920(401) 946-8446(401) 946-8340 Get Directions Write a Review

NPPES record last updated: October 22, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Knightsville Internal Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KNIGHTSVILLE INTERNAL MEDICINE (NPI 1124217674) is a healthcare organization registered as an internal medicine in Cranston, Rhode Island and active in the NPI registry since October 2007. The organization holds a CLIA Microscopy certificate valid through April 1, 2027 and lists Frank P Maggiacomo, President, as its authorized official.

NPPES Registry Identity

NPI1124217674
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFRANK P. MAGGIACOMO, D.O. INC
Location Address1681 CRANSTON ST, SUITE DCranston, RI 02920-5000
Mailing Address1681 Cranston St, Suite DCranston, RI 02920-5000 · (401) 946-8446 · Fax (401) 946-8340
Phone(401) 946-8446
Fax(401) 946-8340
Organization SubpartNo
Authorized OfficialFrank P MaggiacomoPresident · (401) 946-8446
Enumeration DateOctober 22, 2007
✔ NPI 1124217674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in RI · DO 00383
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1681 CRANSTON ST, Cranston, RI 02920
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Other Names 1

Doing Business AsKnightsville Internal Medicine

Other Identifiers 2

Other119003084RI · Ptan
MedicaidFM27448RI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Knightsville Internal Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Knightsville Internal Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Luann Kelly, NP
Nurse Practitioner
NPI 1497811707
1681 CRANSTON ST STE D
Cranston, RI 02920
(401) 946-8446
✔ PECOS✔ Accepts MedicareSame address
Frank Maggiacomo, D.O.
Internal Medicine
NPI 1629075981
1681 CRANSTON ST SUITE D
Cranston, RI 02920
(401) 946-8446
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 41D0713389

Frank P Maggiacomo Do · Cranston, RI
Active · expires Apr 1, 2027
CLIA Number41D0713389
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2025
Certificate Expiration DateApril 1, 2027
Laboratory DirectorFrank P. Maggiacomo Do
Laboratory Phone(401) 946-8446
Laboratory LocationFrank P Maggiacomo Do1681 Cranston St Ste D, Cranston, RI 02920
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frank P. Maggiacomo, D.O. Inc's NPI number?

The NPI number for Frank P. Maggiacomo, D.O. Inc is 1124217674. It was assigned to this organization in the NPPES registry on October 22, 2007. The provider is doing business as Knightsville Internal Medicine.

Where is Frank P. Maggiacomo, D.O. Inc located?

Frank P. Maggiacomo, D.O. Inc is located at 1681 Cranston St Suite D, Cranston, RI 02920. The listed phone number is (401) 946-8446.

What is Frank P. Maggiacomo, D.O. Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Frank P. Maggiacomo, D.O. Inc enrolled in Medicare?

Yes. Frank P. Maggiacomo, D.O. Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Frank P. Maggiacomo, D.O. Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Frank P. Maggiacomo, D.O. Inc, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Frank P. Maggiacomo, D.O. Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 41D0713389) is associated with this NPI, valid through April 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Frank P. Maggiacomo, D.O. Inc was last updated on October 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.