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DR. PLAKYIL JOSEPH JOSEPH M.D.
NPI 1821070418
Internal Medicine - Hematology & Oncology in Cranston, RI

Active since November 18, 2005PECOS EnrolledAccepts Medicare Assignment
1220 PONTIAC AVE, SUITE 101, CRANSTON, RI 02920(401) 943-4660(401) 943-0240 Get Directions Write a Review

NPPES record last updated: September 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Plakyil Joseph Joseph M.d. NPPES

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

DR. PLAKYIL JOSEPH JOSEPH M.D. (NPI 1821070418) is an individual hematology & oncology provider in Cranston, Rhode Island, licensed in Rhode Island (MD08116) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Newport Hospital, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1821070418
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. PLAKYIL JOSEPH JOSEPHCredential: M.D.
Location Address1220 PONTIAC AVE, SUITE 101Cranston, RI 02920-4455
Mailing Address1220 Pontiac Ave, Suite 101Cranston, RI 02920-4455 · (401) 943-4660 · Fax (401) 943-0240
Phone(401) 943-4660
Fax(401) 943-0240
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateNovember 18, 2005
Last NPPES UpdateSeptember 3, 2013
✔ NPI 1821070418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in RI · MD08116
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1220 PONTIAC AVE, Cranston, RI 02920
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Other Identifiers 16

Other0000002589RI · Bc/bs Of Ri
Other720023901Cigna
Other203575RI · Ri Blue Chip
Medicaid7003433RI
Other0000002589RI · Fep Bc/bs
Other05279441Aetna
Other110203419RI · Railroad Medicare
Other11093252Caqh
Other14368RIHRI · Harvard Pilgrim Health In
Other0173711MA · Masshealth
Other0512967RI · Us Healthcare
Other2456PR · Neighborgood Health Plan
Medicare UPINE92829
OtherRI0007329RI · Tricare
Medicare PIN007003433RI
Other30-00051RI · Uhc Of New England,inc

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

Dr. Plakyil Joseph Joseph M.d. 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 ID6709828338
PECOS Enrollment IDI20050524001249
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 5

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.

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.
315 services121 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
198 services114 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services26 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 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.
20 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Newport Hospital

Acute Care Hospitals · Newport, RI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410006
Location11 Friendship StreetNewport, RI 02840 · Newport County
Emergency services Birthing friendly

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410010
Location101 Dudley StreetProvidence, RI 02905 · 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 02920 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
$177.03 typical visit price
range $58.57 – $177.03
Typical copayment $44.25 (range $14.64 – $44.25)
Most-billed visit code 99205
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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%500 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,929 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
58%500 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%206 patients5/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified
100%942 patients5/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
100%2,361 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%1,078 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 97% · 679 patients
Patients tobacco: 56% · 140 patients
88%679 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
2%1,078 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%1,078 patients1/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 586 patients
0%586 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 3

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$58.46 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$28.56 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$13.95 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 11

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

THOMAS DAVID PULEO, MD, LLC
Pediatrics
1220 PONTIAC AVE, SUITE 302
CRANSTON, RI 02920
Providence County (401) 944-4411
MARK S ROBBINS MD
Internal Medicine (Hematology & Oncology)
1220 PONTIAC AVE, SUITE 101
CRANSTON, RI 02920
Providence County (401) 943-4660
HEMATOLOGY & ONCOLOGY ASSOCIATES OF RHODE ISLAND, INC.
Internal Medicine (Hematology & Oncology)
1220 PONTIAC AVE, 101
CRANSTON, RI 02920
Providence County (401) 943-4660
DR. RONALD P SNIDERMAN DMD
Dentist
1220 PONTIAC AVE, SUITE 201
CRANSTON, RI 02920
Providence County (401) 464-4540
DR. GREGORY FRANK PEZZA DMD, MSD
Dentist (Orthodontics and Dentofacial Orthopedics)
1220 PONTIAC AVE
CRANSTON, RI 02920
Providence County (401) 943-4111
MS. PATRICIA M. WAY A.N.P
Nurse Practitioner (Adult Health)
1220 PONTIAC AVE, SUITE 101
CRANSTON, RI 02920
Providence County (401) 942-4660
SUSAN KAREN HOBIN APRN CNP
Internal Medicine (Hematology & Oncology)
1220 PONTIAC AVE
CRANSTON, RI 02920
Providence County (401) 943-4660
PEZZA ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
1220 PONTIAC AVE
CRANSTON, RI 02920
Providence County (401) 943-4111

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 Plakyil Joseph's NPI number?

The NPI number for Plakyil Joseph is 1821070418. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Plakyil Joseph located?

Plakyil Joseph practices at 1220 Pontiac Ave Suite 101, Cranston, RI 02920. The listed phone number is (401) 943-4660.

What is Plakyil Joseph's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Plakyil Joseph enrolled in Medicare?

Yes. Plakyil Joseph 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 Plakyil Joseph affiliated with any hospitals?

According to CMS data, Plakyil Joseph is affiliated with Newport Hospital, Rhode Island Hospital, Kent County Memorial Hospital, Women & Infants Hospital Of Rhode Island and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Plakyil Joseph was last updated on September 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.