MICHAEL A THURSBY DO
NPI 1669455192
Internal Medicine - Nephrology in East Providence, RI

Active since November 29, 2005PECOS EnrolledAccepts Medicare Assignment
318 WATERMAN AVE, EAST PROVIDENCE, RI 02914(401) 438-5950(401) 435-6700 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael A Thursby Do NPPES

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

MICHAEL A THURSBY DO (NPI 1669455192) is an individual nephrology provider in East Providence, Rhode Island, licensed in Rhode Island (00502) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Sturdy Memorial Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1996).

NPPES Registry Identity

NPI1669455192
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMICHAEL A THURSBYCredential: DO
Location Address318 WATERMAN AVEEast Providence, RI 02914
Mailing Address318 Waterman AveEast Providence, RI 02914-3525 · (401) 438-5950 · Fax (401) 435-2245
Fax(401) 435-6700
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1996
Enumeration DateNovember 29, 2005
Last NPPES UpdateAugust 11, 2020
NPPES CertifiedAugust 11, 2020
NPI 1669455192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in RI · 00502 Licensed in MA · 213316
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
318 WATERMAN AVE, East Providence, RI 02914

Other Identifiers 13

Other110231848Railroad Medi
Other459232Tufts
Medicaid9022203RI
Other000000037167MA · Boston Medical
Other502RI · Blue Cross
Other692775Harvard Pilgrim
OtherJ25258MA · Blue Cross
Medicaid110005090AMA
Other1305389001Cigna
Other7484643Aetna
Other405620RI · Blue Chip
Other4132Neighborhood Hlt
Other3100290United

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michael A Thursby Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476560368
PECOS Enrollment IDI20060317000375, I20091119000019
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
561 services123 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
537 services113 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
449 services237 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
355 services123 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
270 services57 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
118 services92 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sturdy Memorial Hospital

Acute Care Hospitals · Attleboro, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220008
Location211 Park StreetAttleboro, MA 02703 · Bristol County
Emergency services Birthing friendly

Saint Anne's Hospital

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number220020
Location795 Middle StreetFall River, MA 02721 · Bristol County
Emergency services

Our Lady Of Fatima Hospital

Acute Care Hospitals · North Providence, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410005
Location200 High Service AvenueNorth Providence, RI 02904 · Providence County
Emergency services

Landmark Medical Center

Acute Care Hospitals · Woonsocket, RI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410011
Location115 Cass AvenueWoonsocket, RI 02895 · Providence County
Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers15 claims1,380 services$0.27 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers16 claims16 services$17.70 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 16

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

Internal Medicine (Nephrology)
318 WATERMAN AVE
EAST PROVIDENCE, RI 02914
Internal Medicine (Nephrology)
318 WATERMAN AVE
EAST PROVIDENCE, RI 02914
Internal Medicine (Nephrology)
318 WATERMAN AVE
EAST PROVIDENCE, RI 02914
Dietitian, Registered (Nutrition, Renal)
318 WATERMAN AVE
EAST PROVIDENCE, RI 02914
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
318 WATERMAN AVE
EAST PROVIDENCE, RI 02914
Internal Medicine (Nephrology)
318 WATERMAN AVE
EAST PROVIDENCE, RI 02914
Internal Medicine (Nephrology)
318 WATERMAN AVE
EAST PROVIDENCE, RI 02914
Internal Medicine (Nephrology)
318 WATERMAN AVE
EAST PROVIDENCE, RI 02914

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 Michael Thursby's NPI number?

The NPI number for Michael Thursby is 1669455192. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Michael Thursby located?

Michael Thursby practices at 318 Waterman Ave, East Providence, RI 02914. The listed phone number is (401) 438-5950.

What is Michael Thursby's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Michael Thursby enrolled in Medicare?

Yes. Michael Thursby is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Michael Thursby affiliated with any hospitals?

According to CMS data, Michael Thursby is affiliated with Sturdy Memorial Hospital, Saint Anne's Hospital, Our Lady Of Fatima Hospital, Landmark Medical Center and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Michael Thursby was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.