JOHN JOSEPH MACHATA (MD) – Family Medicine Physician, NPI 1922064534

JOHN JOSEPH MACHATA (MD) is a healthcare provider. based in North kingstown, Rhode Island. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. MD08781 (RI). The NPI Number for JOHN JOSEPH MACHATA (MD) is 1922064534

Main info

Male
46 Years Of Experience
Name
JOHN JOSEPH MACHATA (MD)
NPI
1922064534
Phone
(404) 294-9949
Address
320 PHILLIPS ST
Enumeration Date
22 April 2006
Last Update Date
5 September 2013

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Secondary Phone
-
Graduation Year
1980 (46 years ago)
PAC ID
8123080116
Professional Enrollment ID
I20041102000296
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JOHN JOSEPH MACHATA (MD)

  • East Side Clinical Laboratory, 320, Phillips Street, Cold Spring Beach, Wickford, North Kingstown, South County, Rhode Island, 02852, United States

    SUITE 102

    NORTH KINGSTOWN, RI 028525166

    Phone: (404) 294-9949

    Fax: (888) 898-5898

    Type: Mailing

  • 320, Phillips Street, Wickford Historic District, Wickford, North Kingstown, South County, Rhode Island, 02852, United States

    SUITE 102

    NORTH KINGSTOWN, RI 028525149

    Phone: (401) 294-9949

    Fax: (888) 898-5898

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-11-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041102000296IFamily PracticeRITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes4419$0
View full utilization report →

Insurance plans in this area (ZIP 02852)

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Reviews

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Frequently asked questions

Can I verify JOHN JOSEPH MACHATA (MD) with an NPI only?
You can start verification with NPI 1922064534 for JOHN JOSEPH MACHATA (MD), then check state licensing separately.
Does the file indicate JOHN JOSEPH MACHATA (MD) is practicing under active NPI?
Directory data currently reports JOHN JOSEPH MACHATA (MD) as active.
What is JOHN JOSEPH MACHATA (MD)'s specialty?
The listing groups JOHN JOSEPH MACHATA (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does JOHN JOSEPH MACHATA (MD) list a practice location?
Patients near North Kingstown, Rhode Island may find JOHN JOSEPH MACHATA (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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