MR. DAVID J FORTUNATO MD NPI 1205942646

NPI Information

NPI: 1205942646
Provider Name: MR. DAVID J FORTUNATO, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
75 S UNION ST
UNIT 406
PAWTUCKET, RI
ZIP 02860
Phone: (401) 741-3154
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MR. David J Fortunato, MD is a cardiovascular disease internal medicine in Pawtucket, RI. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MR. David J Fortunato, MD NPI is 1205942646. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

75 S UNION ST
UNIT 406
PAWTUCKET, RI
ZIP 02860-978
Phone: (401) 741-3154

The NPI 1205942646 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 5/16/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	5244	RHODE ISLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000812	OTHER		BLUE CHIP
2	DF09421	MEDICAID	RHODE ISLAND
3	069000525	MEDICARE ID-TYPE UNSPECIFIED
4	5256	OTHER		BCBS RI
5	900525	MEDICAID	RHODE ISLAND
6	C90006	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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