DR. JOHN CONCANNON DO
NPI 1962409128
Pediatrics in Cranston, RI

Q: What is John Concannon's NPI number?

The NPI number for John Concannon is 1962409128. It was assigned to this individual provider in the NPPES registry on July 2, 2005.

Q: What is John Concannon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for John Concannon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 July 02, 2005PECOS Enrolled

1145 RESERVOIR AVE, SUITE 124, CRANSTON, RI 02920(401) 943-7337(401) 942-1509 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. John Concannon Do NPPES

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

DR. JOHN CONCANNON DO (NPI 1962409128) is an individual pediatrics provider in Cranston, Rhode Island, licensed in Rhode Island (DO-00357) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962409128

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. JOHN CONCANNONCredential: DO

Location Address1145 RESERVOIR AVE, SUITE 124Cranston, RI 02920-6055

Mailing Address1145 Reservoir Ave, Suite 124Cranston, RI 02920-6055 · (401) 943-7337 · Fax (401) 942-1509

Phone(401) 943-7337

Fax(401) 942-1509

Sole ProprietorNo

Enumeration DateJuly 2, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1962409128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in RI · DO-00357

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1145 RESERVOIR AVE, Cranston, RI 02920

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Other Identifiers 1

Medicare UPINC90437RI

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. John Concannon Do 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 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

$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. HARVEY D. RAPPOPORT PC

Optometrist

1145 RESERVOIR AVE, SUITE #117
CRANSTON, RI 02920

Providence County (401) 943-3082

DR. JAMES KENNETH CARDI M.D.

Internal Medicine

1145 RESERVOIR AVE
CRANSTON, RI 02920

Providence County (401) 942-6500

KARDOUS PRIMARY CARE INC

Internal Medicine

1145 RESERVOIR AVE, STE 301
CRANSTON, RI 02920

Providence County (401) 946-5001

LISA A VALERIO LCMT,CNMT

Mechanotherapist

1145 RESERVOIR AVE, SUITE 300
CRANSTON, RI 02920

Providence County (401) 943-2500

JOSEPH PATRICK MORGANTI DMD

Dentist (Endodontics)

1145 RESERVOIR AVE, SUITE 225
CRANSTON, RI 02920

Providence County (401) 943-7714

MR. MICHAEL JOHN MARTINO PA-C

Physician Assistant

1145 RESERVOIR AVE
CRANSTON, RI 02920

Providence County (401) 942-6500

MS. KIRA E PROVOST RN, LCMT

Registered Nurse

1145 RESERVOIR AVE, SUITE 300
CRANSTON, RI 02920

Providence County (401) 943-2500

DR. MAURA BRIDGETT REYNOLDS DMD

Dentist (Endodontics)

1145 RESERVOIR AVE, SUITE 225
CRANSTON, RI 02920

Providence County (401) 943-7714

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 John Concannon's NPI number?

The NPI number for John Concannon is 1962409128. It was assigned to this individual provider in the NPPES registry on July 2, 2005.

Where is John Concannon located?

John Concannon practices at 1145 Reservoir Ave Suite 124, Cranston, RI 02920. The listed phone number is (401) 943-7337.

What is John Concannon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is John Concannon enrolled in Medicare?

Yes. John Concannon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Concannon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.