Dr John Paul A Abroguena, MD - Medicare Family Practice in Providence, RI

Dr John Paul A Abroguena, MD is a medicare enrolled "Family Medicine" physician in Providence, Rhode Island. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice The Providence Community Health Centers Inc. and his current practice location is 1 Randall Sq, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 274-6339.

Dr John Paul A Abroguena is licensed to practice in Rhode Island (license number MD14026) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235361080.

Contact Information

Dr John Paul A Abroguena, MD
1 Randall Sq,
Providence, RI 02904-2709
(401) 274-6339
(401) 453-6290

Map and Direction




Physician's Profile

Full NameDr John Paul A Abroguena
GenderMale
SpecialityFamily Practice
Experience18 Years
Location1 Randall Sq, Providence, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr John Paul A Abroguena graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1235361080
  • Provider Enumeration Date: 08/12/2009
  • Last Update Date: 12/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9931358389
  • Enrollment ID: I20121001000065

Medical Identifiers

Medical identifiers for Dr John Paul A Abroguena such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235361080NPI-NPPES
MT 195469OtherPALICENSE
MD14026OtherRILICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MT 195469 (Pennsylvania)Secondary
207Q00000XFamily Medicine MD14026 (Rhode Island)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Providence Community Health Centers Inc.933505096288

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr John Paul A Abroguena allows following entities to bill medicare on his behalf.
Entity NameThe Providence Community Health Centers Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053313593
PECOS PAC ID: 9335050962
Enrollment ID: O20040608000007

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Paul A Abroguena is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr John Paul A Abroguena, MD
375 Allens Ave,
Providence, RI 02905-5010

Ph: (401) 444-0400
Dr John Paul A Abroguena, MD
1 Randall Sq,
Providence, RI 02904-2709

Ph: (401) 274-6339

Reviews and Comments


Family Medicine Doctors in Providence, RI

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.