THOMAS DORAN DO
NPI 1881004489
Emergency Medicine in Warwick, RI

Q: What is Thomas Doran's NPI number?

The NPI number for Thomas Doran is 1881004489. It was assigned to this individual provider in the NPPES registry on May 5, 2014.

Q: What is Thomas Doran's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Doran was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 05, 2014PECOS EnrolledAccepts Medicare Assignment

455 TOLL GATE RD, WARWICK, RI 02886(401) 737-7010(401) 736-4546 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 14, 2023, Mar 3, 2023, Nov 13, 2019 and 1 more (4 updates tracked since 2017).

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About Thomas Doran Do NPPES

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

THOMAS DORAN DO (NPI 1881004489) is an individual emergency medicine provider in Warwick, Rhode Island, licensed in Rhode Island (DO00902) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with P H S Indian Hospital Crow / Northern Cheyenne, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1881004489

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameTHOMAS DORANCredential: DO

Location Address455 TOLL GATE RDWarwick, RI 02886-2759

Mailing Address455 Toll Gate RdWarwick, RI 02886-2759 · (401) 737-7010

Phone(401) 737-7010

Fax(401) 736-4546

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2014

Enumeration DateMay 5, 2014

Last NPPES UpdateMarch 14, 20234 updates tracked since enumeration

NPPES CertifiedMarch 14, 2023

✔ NPI 1881004489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in RI · DO00902✔ Licensed in CT · 64507

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

455 TOLL GATE RD, Warwick, RI 02886

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Secondary Practice Locations 2

Location 1200 High Service AveNorth Providence, RI 02904-5113 · Phone (401) 456-3000

Location 2825 Chalkstone AveProvidence, RI 02908-4728 · Phone (401) 456-2000

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

Thomas Doran 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 ID4183948953

PECOS Enrollment IDI20180306002486

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 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

82 services82 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

42 services42 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

20 services20 patients

Hospital Affiliations CMS Care Compare 4

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

P H S Indian Hospital Crow / Northern Cheyenne

Critical Access Hospitals · Crow Agency, MT

OwnershipGovernment - Federal

CMS Certification Number271339

Location1010 South 7650 East, Post Office Box 9Crow Agency, MT 59022 · Big Horn County

Emergency services

Weeks Medical Center

Critical Access Hospitals · Lancaster, NH

OwnershipVoluntary non-profit - Private

CMS Certification Number301303

Location173 Middle StreetLancaster, NH 03584 · Coos 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

Pine Ridge Ihs Hospital

Acute Care Hospitals · Pine Ridge, SD

OwnershipGovernment - Federal

CMS Certification Number430098

LocationEast Highway 18Pine Ridge, SD 57770 · Oglala Lakota County County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02886 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

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.

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. STERLING LEAF MALISH M.D.

Internal Medicine