Provider Demographics
NPI:1598754426
Name:NOTO, RICHARD B (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:B
Last Name:NOTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 METRO CENTER BOULEVARD
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-1768
Mailing Address - Country:US
Mailing Address - Phone:401-432-2520
Mailing Address - Fax:401-453-8220
Practice Address - Street 1:125 METRO CENTER BOULEVARD
Practice Address - Street 2:SUITE 2000
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-1768
Practice Address - Country:US
Practice Address - Phone:401-432-2520
Practice Address - Fax:401-453-8220
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI72872085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1600203OtherUNITED HEALTH PLANS
007287OtherBCBS
004382OtherBLUE CHIP
300036051OtherRR MEDICARE
000000001988OtherNHPRI
007287OtherTUFTS
0090021OtherHEALTHY START
MA0108651Medicaid
007000611OtherHOSPITAL PIN
050318025OtherUNICARE
240066OtherRIH PILGRIM
240154OtherW AND I PILGRIM
003109552OtherCT MED ASSISTANCE
7000611OtherRI MEDICAL ASSISTANCE
720051401OtherCIGNA
7287OtherFEP BLUE CROSS
7287OtherFEP BLUE CROSS
E91444Medicare UPIN