Jordan Amado, PA-C
Individual provider Active NPI Physician Assistant · Cranston, RI
NPI 1013852987 · NPPES record last updated Apr 28, 2026
Key facts
- NPI
- 1013852987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA01902 (RI)
- Practice address
- 725 Reservoir Ave Ste 101
Cranston, RI 02910-4450 - Phone
- (401) 457-1500
- NPI assigned
- Apr 20, 2026
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Kettle Point Ave
East Providence, RI 02914-5375
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260511000394 | RI | Practitioner - Physician Assistant | 4183192941 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA01902 | RI | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA01902 | RI | Yes |
Addresses
Primary practice location
725 Reservoir Ave Ste 101
Cranston, RI 02910-4450
Mailing address
1 Kettle Point Ave
East Providence, RI 02914-5375
Other practice location 1
2138 Mendon Rd Ste 302
Cumberland, RI 02864-3836
Phone (401) 457-1500
Other practice location 2
2 Dudley St Ste 200
Providence, RI 02905-3252
Phone (401) 457-1500
Other providers in Cranston, RI
- Elizabeth A Aloisio
- Giana Alpaio
- Alpha Physical Therapy, Inc.
- Anjelia Altebrando
- Dustin Alvanas
- Kelly Pacheco Amaral
- Amit Mehra DMD LLC
- Amrut R Patel MD
- Juyoung An
- Victoria Andersen
All providers in Cranston, RI · Physician Assistant in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.