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ANTHONY V. ROCHA M.D.
NPI 1386655710
Internal Medicine in East Providence, RI

Active since August 10, 2006PECOS Enrolled
387 WATERMAN AVE, EAST PROVIDENCE, RI 02914(401) 438-2780(401) 438-4763 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anthony V. Rocha M.d. NPPES

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

ANTHONY V. ROCHA M.D. (NPI 1386655710) is an individual internal medicine provider in East Providence, Rhode Island, licensed in Rhode Island (MD05196) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386655710
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameANTHONY V. ROCHACredential: M.D.
Location Address387 WATERMAN AVEEast Providence, RI 02914-2618
Mailing Address387 Waterman AveEast Providence, RI 02914-2618 · (401) 438-2780 · Fax (401) 438-4763
Phone(401) 438-2780
Fax(401) 438-4763
Sole ProprietorYes
Enumeration DateAugust 10, 2006
Last NPPES UpdateSeptember 28, 2020
NPPES CertifiedSeptember 28, 2020
✔ NPI 1386655710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in RI · MD05196
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD05196 (RI)
387 WATERMAN AVE, East Providence, RI 02914
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Other Identifiers 1

MedicaidAR31378RI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthony V. Rocha M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02914 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%165 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%158 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers46 claims83 services$6.06 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers12 claims13 services$0.97 avg. paid by Medicare
Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
2 suppliers14 claims280 services$2.71 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
2 suppliers14 claims280 services$4.55 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
1 supplier12 claims218 services$2.37 avg. paid by Medicare
Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each A4424
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$4.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

ALI MOSSAID MD
Internal Medicine
387 WATERMAN AVE
E PROVIDENCE, RI 02914
Providence County (401) 438-2780
SUSANA CHAN, OD, P.C.
Optometrist
387 WATERMAN AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 453-5800
NANCY F MARSHALL RN, MSW, LICSW
Social Worker (Clinical)
387 WATERMAN AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 524-2908
SUSANA CHAN OD
Optometrist
387 WATERMAN AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 453-5800

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 Anthony Rocha's NPI number?

The NPI number for Anthony Rocha is 1386655710. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Anthony Rocha located?

Anthony Rocha practices at 387 Waterman Ave, East Providence, RI 02914. The listed phone number is (401) 438-2780.

What is Anthony Rocha's specialty?

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

Is Anthony Rocha enrolled in Medicare?

Yes. Anthony Rocha is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anthony Rocha was last updated on September 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.