Individual provider Active NPI

Richard J Pedro, D.O.

  • Anesthesiology Physician
  • Warwick, RI
National Provider Identifier
1013237924
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
245011 Issued in MA
Practice address
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone
(401) 737-7010
NPI assigned
Jun 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 245011 MA Primary

Addresses

Primary practice location

455 Toll Gate Rd
Warwick, RI 02886-2759

Mailing address

PO Box 844058
Dallas, TX 75284-4058
Phone (833) 479-0697

Other practice location 1

825 Chalkstone Ave
Providence, RI 02908-4728
Phone (401) 456-2000

Other practice location 2

200 High Service Ave
North Providence, RI 02904-5113
Phone (401) 456-3000

Other practice location 3

100 Kenyon Ave
Wakefield, RI 02879-4216
Phone (401) 782-8000

Other practice location 4

1 Kettle Point Ave Ste 200
East Providence, RI 02914-5375
Phone (401) 443-4230

Other practice location 5

55 Lake Ave N
Internal Medicine Residency
Worcester, MA 01655-0002
Phone (508) 334-1000

Other practice location 6

1040 Charles St
North Providence, RI 02904-4916
Phone (401) 816-5145

Other practice location 7

345 Blackstone Blvd
Providence, RI 02906-4800
Phone (401) 455-6200

Other practice location 8

300 Crossings Blvd Ste 310
Warwick, RI 02886-2878
Phone (401) 777-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20140716002501 MA Practitioner - Anesthesiology 2264655331 Reassigns benefits to 2 organizations
I20140717000178 RI Practitioner - Anesthesiology 2264655331 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of New England, College of Osteo Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Narragansett Bay Anesthesia LLCGroup PAC ID 5991774929, 95 clinicians

Practice addresses (Care Compare)

100 Kenyon Ave
Wakefield, RI 02879-4216
Phone (401) 782-8000

345 Blackstone Blvd
Providence, RI 02906-4800
Phone (401) 455-6200

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7000

825 Chalkstone Ave
Providence, RI 02908-4728
Phone (401) 456-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
245011MAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Mar 1, 2018 Accepting new patients
Narragansett Bay Anesthesia, LLC Anesthesiology CurrentSince Jul 10, 2014 Accepting new patients
Planned Parenthood of Southern New England, Inc. CurrentSince Jan 18, 2023 Accepting new patients
Steward Medical Group, Inc Anesthesiology CurrentSince Mar 1, 2018 Accepting new patients

Locations

138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302

88 Newton St
#2817
Boston, MA 02118
Phone (617) 921-5804

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

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

114 Whitwell St
Quincy, MA 02169
Phone (617) 376-4018

440 Swansea Mall Dr
Swansea, MA 02777
Phone (508) 324-1171

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

175 Broad St
Providence, RI 02903
Phone (401) 421-9620

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

Organizations & group practices 4

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 3

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": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1013237924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844058",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844058",
            "telephone_number": "833-479-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862759",
            "telephone_number": "401-737-7010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Chalkstone Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029084728",
            "country_code": "US",
            "telephone_number": "401-456-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 High Service Ave",
            "address_purpose": "LOCATION",
            "city": "North Providence",
            "state": "RI",
            "postal_code": "029045113",
            "country_code": "US",
            "telephone_number": "401-456-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Kenyon Ave",
            "address_purpose": "LOCATION",
            "city": "Wakefield",
            "state": "RI",
            "postal_code": "028794216",
            "country_code": "US",
            "telephone_number": "401-782-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Kettle Point Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029145375",
            "country_code": "US",
            "telephone_number": "401-443-4230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Lake Ave N",
            "address_2": "Internal Medicine Residency",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016550002",
            "country_code": "US",
            "telephone_number": "508-334-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1040 Charles St",
            "address_purpose": "LOCATION",
            "city": "North Providence",
            "state": "RI",
            "postal_code": "029044916",
            "country_code": "US",
            "telephone_number": "401-816-5145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 Blackstone Blvd",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029064800",
            "country_code": "US",
            "telephone_number": "401-455-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Crossings Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028862878",
            "country_code": "US",
            "telephone_number": "401-777-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDRO",
        "first_name": "RICHARD",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-03",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "245011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.