Individual provider Active NPI

Jill Volk, D.O.

  • Emergency Medicine Physician
  • Wakefield, RI
National Provider Identifier
1003009804
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO01235 Issued in RI
Practice address
100 Kenyon Ave
Wakefield, RI 02879-4299
Phone
(401) 782-8000
NPI assigned
Aug 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 1405 SC
Student in an Organized Health Care Education/Training Program 390200000X UO1748 FL
Emergency Medicine Physician 207P00000X DO01235 RI Primary

Addresses

Primary practice location

100 Kenyon Ave
Wakefield, RI 02879-4299

Mailing address

407 Uluniu St Ste 411
Kailua, HI 96734-2544
Phone (808) 263-7203

Other practice location 1

407 Uluniu St Ste 411
Kailua, HI 96734-2544
Phone (808) 263-7203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, RI, MA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20161107000744 FL Practitioner - Emergency Medicine 1153455159 Reassigns benefits to 1 organization
I20230405001138 RI Practitioner - Emergency Medicine 1153455159 Reassigns benefits to 1 organization
I20241115002664 MA Practitioner - Emergency Medicine 1153455159 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

795 Middle St
Fall River, MA 02721-1733
Phone (508) 674-5600

Hospital & facility affiliations

  • Saint Anne'S Hospital Hospital, Fall River, MA, CCN 220020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
UO1748FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Telescope Health Medical Group, P.a. Emergency Medicine CurrentSince Sep 20, 2025 Accepting new patients
Emergency Physician Associates of New England PC Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Lifespan Physician Group of Massachusetts Inc Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Steward Emergency Physicians, Inc Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Lifespan Corporation Current Accepting new patients
Midpacific Hospitalists LLC PastSince May 1, 2013 Accepting new patients

Locations

841 Prudential Dr
Unit 1410
Jacksonville, FL 32207
Phone (904) 373-5304

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000

Interoperability endpoints

  • FHIR API: https://lsepprdsoap.lifespan.org/fhirproxy/api/FHIR/R4/
  • Direct secure messaging: jvolk236218@brownhealth.medalliesdirect.net
  • Direct secure messaging: jill.volk.1@24008.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1003009804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 ULUNIU ST STE 411",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342544",
            "telephone_number": "808-263-7203",
            "fax_number": "808-263-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KENYON AVE",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794299",
            "telephone_number": "401-782-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 Uluniu St Ste 411",
            "address_purpose": "LOCATION",
            "city": "Kailua",
            "state": "HI",
            "postal_code": "967342544",
            "country_code": "US",
            "telephone_number": "808-263-7203",
            "fax_number": "808-263-4604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOLK",
        "first_name": "JILL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "1405",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "UO1748",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "RI",
            "license": "DO01235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

Verify at the official NPI Registry.