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DR. DANIEL DEPOLO MD
NPI 1124758065
Student in an Organized Health Care Education/Training Program in Providence, RI

Active since June 14, 2022PECOS Enrolled
593 EDDY ST, PROVIDENCE, RI 02903(401) 457-3336(401) 525-2549 Get Directions Write a Review

NPPES record last updated: June 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Daniel Depolo Md NPPES

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

DR. DANIEL DEPOLO MD (NPI 1124758065) is an individual student in an organized health care education/training program in Providence, Rhode Island, licensed in Rhode Island (05668) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124758065
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. DANIEL DEPOLOCredential: MD
Location Address593 EDDY STProvidence, RI 02903-4923
Mailing Address593 Eddy StProvidence, RI 02903-4923 · (401) 457-3336 · Fax (401) 525-2549
Phone(401) 457-3336
Fax(401) 525-2549
Sole ProprietorNo
Enumeration DateJune 14, 2022
Last NPPES UpdateJune 16, 2022
NPPES CertifiedJune 16, 2022
✔ NPI 1124758065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in RI · 05668
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
593 EDDY ST, Providence, RI 02903
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Daniel Depolo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEITH-AUSTIN SCARFO D.O.
Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Providence County (401) 444-3777
AILEEN HSUEH
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-8450
RHODE ISLAND HOSPITAL
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Providence County (401) 444-7585
DR. GA HIE NAM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-5057
EUGENIE ATALLAH
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-2645
BRIAN CAO MD
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-4286
BRET CAULFIELD
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4000
JUNG HO GONG
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 793-2695

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 Daniel Depolo's NPI number?

The NPI number for Daniel Depolo is 1124758065. It was assigned to this individual provider in the NPPES registry on June 14, 2022.

Where is Daniel Depolo located?

Daniel Depolo practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 457-3336.

What is Daniel Depolo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Daniel Depolo enrolled in Medicare?

Yes. Daniel Depolo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daniel Depolo was last updated on June 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.