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Deactivated NPI 1669466470 Deactivated / Inactive NPI Male Practitioner

Dr. Thomas D Dellatorre , MD

Specialist • Pawtucket, RI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Thomas Dellatorre has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 07, 2005
NPI Deactivation Date May 28, 2026
Total Practice Duration ~21 Years of Practice (2005 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Dellatorre, MD was a registered Specialist practicing in Pawtucket, RI. Throughout an active medical career spanning 21 years, Dr. Dellatorre provided care at the practice location at 333 SCHOOL ST until profile deactivation on 2026-05-28.

Practice Location & Contact Primary Location

Practice Address

333 School St
Suite 302

Pawtucket, RI 028605334

Telephone 4017280140
Fax 4017271979
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Pawtucket, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 48.0 Yrs
State Avg: 34.6 Yrs
Regional Practice Density
8 Specialists

Practicing in Pawtucket, RI (216 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License RI MD04411

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
NPI 1124012679

Doctor of Medicine (M.D.)

Dr. David Bick , MD

Otolaryngology

NPI 1225323710

Doctor of Medicine (M.D.)

NPI 1255060133

Doctor of Audiology

NPI 1306815725

MSCCCCA

NPI 1629481825

Doctor of Medicine (M.D.)

NPI 1669049318

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 28, 2026

Record deactivated on May 28, 2026

NPI Profile Active April 24, 2009

NPI status registered as active in NPPES database

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Updated Practice Location April 24, 2009

Registered at 333 SCHOOL ST, SUITE 302, PAWTUCKET, RI 028605334 (Tel: 4017280140)

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Updated Business Mailing Address April 24, 2009

Registered at 333 SCHOOL ST, SUITE 302, PAWTUCKET, RI 028605334 (Tel: 4017280140)

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Provider Name / Credentials Updated April 24, 2009

Recorded as THOMAS DELLATORRE, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2009

Specialist (License #MD04411 in RI)

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Initial NPI Registration & Enumeration September 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669466470
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2005
Last Update: April 24, 2009
Deactivation Date: May 28, 2026

Mailing Address

333 School St, Suite 302

Pawtucket, RI 028605334

Phone: 4017280140

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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