| Kenneth Roceo Catallozzi, MD | |
|
2138 Mendon Rd, Cumberland, RI 02864 | |
| (401) 944-3800 | |
| (401) 943-3129 |
| Full Name | Kenneth Roceo Catallozzi |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 2138 Mendon Rd, Cumberland, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417943291 | NPI | - | NPPES |
| KC26497 | Medicaid | RI | |
| 201865 | Other | RI | BLUE CHIP |
| 321675 | Other | RI | BLUE CROSS |
| 1417943291 | Other | RI | DURABLE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MD06517 (Rhode Island) | Primary |
| Entity Name | University Orthopedics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235181041 PECOS PAC ID: 9931000395 Enrollment ID: O20040119000129 |
| Entity Name | Orthopaedic Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215964465 PECOS PAC ID: 4880646843 Enrollment ID: O20050217000678 |
| Entity Name | Prospect Chartercare Rwmc, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285059287 PECOS PAC ID: 0547492696 Enrollment ID: O20140728001672 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Roceo Catallozzi, MD 725 Reservoir Ave, Cranston, RI 02910-4450 Ph: (401) 944-3800 | Kenneth Roceo Catallozzi, MD 2138 Mendon Rd, Cumberland, RI 02864 Ph: (401) 944-3800 |
Ira Joel Singer, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2138 Mendon Rd, Number 302, Cumberland, RI 02864 Phone: 401-334-1060 Fax: 401-334-1063 | |
Dr. Robert Joseph Fortuna, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2138 Mendon Rd, Cumberland, RI 02864 Phone: 401-334-1060 Fax: 401-334-1063 |