Stanley H. Block, MD
Individual provider Active NPI Allergy & Immunology Physician · Providence, RI
NPI 1013900638 · NPPES record last updated Aug 6, 2025
Key facts
- NPI
- 1013900638
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- License
- MD05146 (RI)
- Practice address
- 1 Randall SQ
Providence, RI 02904-2709 - Phone
- (401) 444-0414
- Fax
- (401) 354-1428
- NPI assigned
- Aug 30, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Allergy/Immunology
- Education
- Yale University School of Medicine, 1966
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Providence Community Health Centers Inc.
Practice addresses (Care Compare)
1 Randall SQ
Providence, RI 02904-2709
Phone (401) 274-6339
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091001000150 | RI | Practitioner - Allergy/Immunology |
5496891699 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD05146 | RI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Providence Community Health Centers, Inc | Current |
Accepting new patients | |
| The Providence Community Health Centers Inc. | Past | Accepting new patients |
Locations
1 Randall Sq
Providence, RI 02904
Phone (401) 272-5500
375 Allens Ave
Providence, RI 02905
Phone (401) 444-0400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | MD05146 | RI | |
| Pediatrics Physician | 208000000X | MD05146 | RI | |
| Allergy & Immunology Physician | 207K00000X | MD05146 | RI | Yes |
Addresses
Primary practice location
1 Randall SQ
Providence, RI 02904-2709
Mailing address
375 Allens Ave
Providence, RI 02905-5010
Phone (401) 444-0400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7001184 | Medicaid | RI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stanley.block@providencechc.directbygreenway.com |
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- Rachael Bliss
- Thomas Francis Bliss Jr.
- Deepa H Blomstedt
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- Erika Bloom
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All providers in Providence, RI · Allergy & Immunology Physician 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 Aug 6, 2025. 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.