University Gastroenterology, Llc - Medicare Primary Care in Providence, RI

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University Gastroenterology, Llc is a medicare enrolled primary clinic (Internal Medicine - Gastroenterology) in Providence, Rhode Island. The current practice location for University Gastroenterology, Llc is 33 Staniford St, Providence, Rhode Island. For appointments, you can reach them via phone at (401) 421-8800. The mailing address for University Gastroenterology, Llc is 33 Staniford St, Providence, Rhode Island and phone number is (401) 421-8800.

University Gastroenterology, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1386952612. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (401) 421-8800.

Contact Information

University Gastroenterology, Llc
33 Staniford St
Providence
RI 02905
(401) 421-8800
(401) 273-6510

Map and Direction


Primary Care Clinic Profile

Full NameUniversity Gastroenterology, Llc
SpecialityInternal Medicine
Location33 Staniford St, Providence, Rhode Island
Authorized Official Name and PositionTanya Mauldin (CREDENTIAING SPECIALISTS)
Authorized Official Contact4014218800
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
University Gastroenterology, Llc
33 Staniford St
Providence
RI 02905-3105

Ph: (401) 421-8800		University Gastroenterology, Llc
33 Staniford St
Providence
RI 02905

Ph: (401) 421-8800

NPI Details:

NPI Number1386952612
Provider Enumeration Date09/21/2010
Last Update Date05/24/2022

Medicare PECOS Information:

Medicare PECOS PAC ID3678762804
Medicare Enrollment IDO20110104000826

Medical Identifiers

Medical identifiers for University Gastroenterology, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386952612NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology (* (Not Available))Primary
207ZC0006XPathology - Clinical Pathology (* (Not Available))Secondary
261QI0500XClinic/center - Infusion Therapy (* (Not Available))Secondary
367500000XNurse Anesthetist, Certified Registered (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. University Gastroenterology, Llc acts as a billing entity for following providers:
Provider NameMartha W Feldmann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922096981
PECOS PAC ID: 7012829484
Enrollment ID: I20031105000597
Provider NameColleen D Fullerton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528139730
PECOS PAC ID: 7517850803
Enrollment ID: I20040202000961
Provider NameThomas E Sepe
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1508937889
PECOS PAC ID: 3072403807
Enrollment ID: I20040318000025
Provider NamePeter S Margolis
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1659457133
PECOS PAC ID: 5294719605
Enrollment ID: I20040615000132
Provider NameTheodore C Palumbo
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1578634812
PECOS PAC ID: 4587648647
Enrollment ID: I20040616000285
Provider NamePaul A Akerman
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1942302773
PECOS PAC ID: 9739152158
Enrollment ID: I20040814000116
Provider NameEdward A Pensa
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1710058052
PECOS PAC ID: 2567439177
Enrollment ID: I20040914000200
Provider NameDavid W Rowe
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1043200504
PECOS PAC ID: 2860461597
Enrollment ID: I20040929000995
Provider NameLisa Ann Mueller
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1063583383
PECOS PAC ID: 1850368317
Enrollment ID: I20041011000087
Provider NameDaniel L Druckman
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1710095096
PECOS PAC ID: 3779548482
Enrollment ID: I20041129000004
Provider NameJoseph D Pianka
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1023189370
PECOS PAC ID: 5395709471
Enrollment ID: I20041206000171
Provider NameDenise Janczynski
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1801874706
PECOS PAC ID: 0547227506
Enrollment ID: I20041213000108
Provider NameRichard E Matte
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1700863651
PECOS PAC ID: 7416845821
Enrollment ID: I20041218000106
Provider NameWendi Z Sylvia
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1225166697
PECOS PAC ID: 5193783215
Enrollment ID: I20041221000605
Provider NameSusan Elizabeth Buntz
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1336232883
PECOS PAC ID: 5597718239
Enrollment ID: I20050418000059
Provider NameGary E Nilsson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1285710988
PECOS PAC ID: 3870531296
Enrollment ID: I20050418000544
Provider NameAmer B Malik
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1679560684
PECOS PAC ID: 8527006378
Enrollment ID: I20050421000691
Provider NameKevin S Palumbo
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1811068141
PECOS PAC ID: 0648219402
Enrollment ID: I20050502000005
Provider NameWilliam T Chen
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1467546051
PECOS PAC ID: 5092755132
Enrollment ID: I20050507000085
Provider NameJohn Cribb
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1265526891
PECOS PAC ID: 9234179102
Enrollment ID: I20050510000982
Provider NameEric P Berthiaume
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1235223843
PECOS PAC ID: 7315987120
Enrollment ID: I20050510001217
Provider NameAngela Fishman
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1437235983
PECOS PAC ID: 6608817168
Enrollment ID: I20050519000883
Provider NameJohn Robert Jackson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1548376437
PECOS PAC ID: 2062467871
Enrollment ID: I20050910000282
Provider NamePedro Barros
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1649276494
PECOS PAC ID: 7214954676
Enrollment ID: I20051026000158
Provider NameSharyn Zibrida
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1366495426
PECOS PAC ID: 1052339462
Enrollment ID: I20051110000581
Provider NameCindy L Dow
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1063484368
PECOS PAC ID: 9032124417
Enrollment ID: I20060207000773
Provider NamePatrick M Donohue
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1235184342
PECOS PAC ID: 5698759736
Enrollment ID: I20060711000280
Provider NameBradley Shapiro
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1972540201
PECOS PAC ID: 3870596273
Enrollment ID: I20061027000130
Provider NameMark D Mcmullen
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1689897126
PECOS PAC ID: 2567562093
Enrollment ID: I20070712000261
Provider NameCatherine M Carlson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1568425056
PECOS PAC ID: 9234230160
Enrollment ID: I20070723000480
Provider NameSteven Archer
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1588701445
PECOS PAC ID: 0042268245
Enrollment ID: I20071126000415
Provider NameSheldon Lidofsky
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1447336904
PECOS PAC ID: 9032186598
Enrollment ID: I20080327000645
Provider NameMaria L Ross
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1033399449
PECOS PAC ID: 2668559014
Enrollment ID: I20080409000348
Provider NameThomas P Mcmahon
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1619048030
PECOS PAC ID: 5092893214
Enrollment ID: I20080428000674
Provider NameSteven J Creamer
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1871747121
PECOS PAC ID: 7113084658
Enrollment ID: I20090327000017
Provider NameJared R Matteson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1265673107
PECOS PAC ID: 0648320143
Enrollment ID: I20090603000523
Provider NameVirginia L Pierce
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730313180
PECOS PAC ID: 1456402049
Enrollment ID: I20090622000169
Provider NameEric B Newton
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1952430019
PECOS PAC ID: 3476657248
Enrollment ID: I20090708000098
Provider NameNaveh Levy
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1548436025
PECOS PAC ID: 3375615206
Enrollment ID: I20090729000501
Provider NamePhilip M Trupiano
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1073684361
PECOS PAC ID: 5698794105
Enrollment ID: I20091023000339
Provider NameJoel Spellun
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1295785251
PECOS PAC ID: 8022049378
Enrollment ID: I20100324000717
Provider NamePhilip A Mcandrew
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1376614966
PECOS PAC ID: 2264535509
Enrollment ID: I20100520000191
Provider NameKevin W Boog
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1306160023
PECOS PAC ID: 1254462492
Enrollment ID: I20100701000466
Provider NameChristina Pinto
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1386807410
PECOS PAC ID: 0042406076
Enrollment ID: I20101202000052
Provider NameKathryn K Arner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720388655
PECOS PAC ID: 8224218268
Enrollment ID: I20110209000291
Provider NameMary Fortuna Silva
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306917521
PECOS PAC ID: 2264615301
Enrollment ID: I20110325000788
Provider NameMaria G Mariorenzi-barone
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1467548065
PECOS PAC ID: 9638343486
Enrollment ID: I20111114000508
Provider NameJames Blechman
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1841281953
PECOS PAC ID: 9739354119
Enrollment ID: I20111213000903
Provider NameRichard Black
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1487644902
PECOS PAC ID: 1355234196
Enrollment ID: I20111215000408
Provider NameVictoria Gohh
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1104884527
PECOS PAC ID: 4981879293
Enrollment ID: I20111215000453
Provider NameTerri L Chalker
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1043277130
PECOS PAC ID: 4385819515
Enrollment ID: I20111215000912
Provider NameJeffrey E Silverstein
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1609866128
PECOS PAC ID: 9638346448
Enrollment ID: I20120119000388
Provider NameLora S Hahn Schubert
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1649355108
PECOS PAC ID: 4789876970
Enrollment ID: I20120531000601
Provider NameJaimie Pogany
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1124388152
PECOS PAC ID: 6507012465
Enrollment ID: I20120808000424
Provider NameJulia M Labossiere
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1144664400
PECOS PAC ID: 7012151152
Enrollment ID: I20130911000700
Provider NameHenry R Pendleton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669810529
PECOS PAC ID: 2567694417
Enrollment ID: I20140409000044
Provider NameSheryl A Dibernardo
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1568884948
PECOS PAC ID: 8022231992
Enrollment ID: I20140521001916
Provider NameAamir Ahmad
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1215124391
PECOS PAC ID: 3870765985
Enrollment ID: I20140905001190
Provider NameBridget B Fitzgibbon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679976187
PECOS PAC ID: 3173845658
Enrollment ID: I20141212000241
Provider NameBradford Michael St Martin
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1962833715
PECOS PAC ID: 0648400150
Enrollment ID: I20150604001667
Provider NameRavi V Nadimpalli
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1306043021
PECOS PAC ID: 7810932241
Enrollment ID: I20160127001161
Provider NameGeorge Frank Brinius
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1821391228
PECOS PAC ID: 6507049160
Enrollment ID: I20160308001998
Provider NameKathleen M Bourski
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1396104774
PECOS PAC ID: 5597056762
Enrollment ID: I20160617001014
Provider NameJason D Ferreira
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1194952929
PECOS PAC ID: 2264650886
Enrollment ID: I20160630000441
Provider NamePranith N Perera
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1831361591
PECOS PAC ID: 8123296977
Enrollment ID: I20160720001550
Provider NameRolina Levin
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1558390179
PECOS PAC ID: 1355310293
Enrollment ID: I20160927000784
Provider NameKristin Skelly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639522816
PECOS PAC ID: 1355629486
Enrollment ID: I20161025001359
Provider NameGerald Murphy
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1679020523
PECOS PAC ID: 5890079859
Enrollment ID: I20170313000366
Provider NameBevin Doyle
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1255878302
PECOS PAC ID: 9931484433
Enrollment ID: I20170324000609
Provider NameOzden Bulut
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1124394879
PECOS PAC ID: 5698042802
Enrollment ID: I20170518001126
Provider NameNicole D Campbell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801317896
PECOS PAC ID: 0941575880
Enrollment ID: I20171003006957
Provider NameTiffany Lynn Ryan
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1285047233
PECOS PAC ID: 6002036662
Enrollment ID: I20171011000202
Provider NameMarcia A Bourque-moreno
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1902808843
PECOS PAC ID: 9032191473
Enrollment ID: I20171106002160
Provider NameLea Rene Kelly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790295285
PECOS PAC ID: 1759649072
Enrollment ID: I20171214001522
Provider NameKathleen A Rassler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477079291
PECOS PAC ID: 3971862947
Enrollment ID: I20180119001322
Provider NameJessica Ferreira
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1265940068
PECOS PAC ID: 0345501524
Enrollment ID: I20180305000408
Provider NameDevin H Sadlers
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1346748977
PECOS PAC ID: 2365703576
Enrollment ID: I20180305001766
Provider NameJustin B Hilson
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1609035880
PECOS PAC ID: 7113111717
Enrollment ID: I20180321001041
Provider NameDanielly Muchiutti
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1144306770
PECOS PAC ID: 0143209460
Enrollment ID: I20180323001016
Provider NameMichaela J Hubbard
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1033359005
PECOS PAC ID: 5294892758
Enrollment ID: I20180406000805
Provider NameDavid A Sherman
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1144284993
PECOS PAC ID: 3173517455
Enrollment ID: I20180426002021
Provider NameRobert M Najarian
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1033367966
PECOS PAC ID: 8820121981
Enrollment ID: I20180427001057
Provider NameSaint George T Aufranc
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1740244516
PECOS PAC ID: 3072641778
Enrollment ID: I20180502002713
Provider NameShivali Marketkar
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1740627884
PECOS PAC ID: 9638396187
Enrollment ID: I20180503000292
Provider NameJerry Felix
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1851741672
PECOS PAC ID: 0547555054
Enrollment ID: I20180524001705
Provider NameJeffrey D Nadelson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619263399
PECOS PAC ID: 3173763901
Enrollment ID: I20180618003108
Provider NameElizabeth Ann Decker
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1811257934
PECOS PAC ID: 9032463120
Enrollment ID: I20181107003425
Provider NameMichael Joseph Moylan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407319163
PECOS PAC ID: 6103150511
Enrollment ID: I20190618003412
Provider NameKayla Sangster
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1588222996
PECOS PAC ID: 3779817028
Enrollment ID: I20190620002098
Provider NameBreton N Roussel
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1215385661
PECOS PAC ID: 0547555880
Enrollment ID: I20190625001018
Provider NameHilde Gulla Vardeh
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1578937587
PECOS PAC ID: 7416283049
Enrollment ID: I20190719001475
Provider NameKami R Girolimon
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1346411253
PECOS PAC ID: 0042398687
Enrollment ID: I20200124001078
Provider NameErin Casimiro
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1083246102
PECOS PAC ID: 3678900776
Enrollment ID: I20200303000131
Provider NameBrittany Leduc
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1043842313
PECOS PAC ID: 8628407426
Enrollment ID: I20200330002965
Provider NameRoshan Arjal
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1437566965
PECOS PAC ID: 5890110159
Enrollment ID: I20200803002706
Provider NameShirley Czaja
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1720186380
PECOS PAC ID: 2466446745
Enrollment ID: I20200908002083
Provider NameBreanne Leigh St. Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053938886
PECOS PAC ID: 9133531791
Enrollment ID: I20201223002528
Provider NameHeather L Hipp
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1164753653
PECOS PAC ID: 3476688714
Enrollment ID: I20210125000570
Provider NameKate Bishop
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1316563117
PECOS PAC ID: 2264859198
Enrollment ID: I20210208002343
Provider NameLuciano De Lima Villarinho
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1164943015
PECOS PAC ID: 0244501914
Enrollment ID: I20210416000512
Provider NameAravind Mohandas
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1366858987
PECOS PAC ID: 6507168929
Enrollment ID: I20210421002381
Provider NameAlexander Christakis
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1538512231
PECOS PAC ID: 5092000240
Enrollment ID: I20210715003411
Provider NameNedel Merto
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1801435383
PECOS PAC ID: 1951732031
Enrollment ID: I20220224002630
Provider NameDennis Anthony Rotondi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487326245
PECOS PAC ID: 5597151191
Enrollment ID: I20220407001544
Provider NameAmanda Beth Shehadeh
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1598223422
PECOS PAC ID: 1456694629
Enrollment ID: I20220407001618
Provider NameAbdul Bhutta
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1417268566
PECOS PAC ID: 9638319957
Enrollment ID: I20220509001021
Provider NameEric Lavery
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1720059843
PECOS PAC ID: 8628494952
Enrollment ID: I20220708002541
Provider NameSamantha Ann Capece
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669057311
PECOS PAC ID: 7719360031
Enrollment ID: I20220819001346
Provider NameElizabeth Sacco
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1871166850
PECOS PAC ID: 5597149229
Enrollment ID: I20220830002656
Provider NameSandra Ferraz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265026272
PECOS PAC ID: 2163890146
Enrollment ID: I20221122003434
Provider NameGerald Bailey
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1356470710
PECOS PAC ID: 2668884115
Enrollment ID: I20230127002031
Provider NameJodi Lynn Criner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841944527
PECOS PAC ID: 7416393921
Enrollment ID: I20240306004091

Reviews and Comments


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Medicare: Medicare Enrolled
Practice Location: 381 Wickenden St, Providence, RI 02903
Phone: 401-433-7550    Fax: 401-490-0905
Hallworth House
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 66 Benefit St, Providence, RI 02904
Phone: 401-274-4505    

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.