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Deactivated NPI 1174783864 Deactivated / Inactive NPI Female Practitioner

Dr. Casey J Maks , MD

Internal Medicine • Providence, 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. Casey Maks has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 16, 2008
NPI Deactivation Date January 31, 2022
Total Practice Duration ~14 Years of Practice (2008 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Casey Maks, MD was a registered Internal Medicine practicing in Providence, RI. Throughout an active medical career spanning 14 years, Dr. Maks provided care at the practice location at 593 EDDY ST until profile deactivation on 2022-01-31.

Practice Location & Contact Primary Location

Practice Address

593 Eddy St

Providence, RI 029034923

Telephone 4014448450
Fax 4014445088
Associated Practice Facility / Clinic
🏢 Rhode Island Hospital Facility NPI 1588659528

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.8 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
523 Specialists

Practicing in Providence, RI (1079 Statewide)

Telehealth Adoption Rate
9.4% 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

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI LP01337

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003034877
NPI 1013574706

Doctor of Medicine (M.D.)

Dr. Jason Shapiro , MD

Pediatrics - Pediatric Gastroenterology

NPI 1023235751

Doctor of Medicine (M.D.)

Beverly Ejiofor

Student in an Organized Health Care Education/Training Program

NPI 1023702230
Dr. Mirfrida Geller , MD

Pathology - Neuropathology

NPI 1033315205

Doctor of Medicine (M.D.)

Dr. Chase Samsel , MD

Pediatrics - Developmental - Behavioral Pediatrics

NPI 1033370606

Doctor of Medicine (M.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 January 31, 2022

Record deactivated on January 31, 2022

NPI Profile Active June 16, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 16, 2008

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4014448450)

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Updated Business Mailing Address June 16, 2008

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4014448450)

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Provider Name / Credentials Updated June 16, 2008

Recorded as CASEY MAKS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2008

Internal Medicine (License #LP01337 in RI)

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Initial NPI Registration & Enumeration June 16, 2008

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: 1174783864
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2008
Last Update: June 16, 2008
Deactivation Date: January 31, 2022

Mailing Address

593 Eddy St

Providence, RI 029034923

Phone: 4014448450

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.