NPIMap

Individual provider Active NPI

Jennifer F Jarbeau, MD

  • Cardiovascular Disease Physician
  • Warwick, RI
National Provider Identifier
1023012572
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD11425 Issued in RI
Practice address
400 Bald Hill Rd Ste 524
Warwick, RI 02886-6100
Phone
(401) 737-7313
Fax
(401) 737-4207
NPI assigned
Jun 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 202597 MA
Cardiovascular Disease Physician 207RC0000X MD11425 RI Primary

Addresses

Primary practice location

400 Bald Hill Rd Ste 524
Warwick, RI 02886-6100

Mailing address

200 Mill Road
Suite 180
Fairhaven, MA 02719-5252
Phone (508) 973-2000

Other practice location 1

75 Francis St
Boston, MA 02115-6110
Phone (857) 307-4000

Other identifiers 1

IdentifierTypeStateIssuer
9003542MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040823000783 RI Practitioner - Cardiovascular Disease (Cardiology) 6709850068 Reassigns benefits to 2 organizations
I20171208001153 MA Practitioner - Cardiovascular Disease (Cardiology) 6709850068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Hahnemann University College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC. Cardiovascular Disease CurrentSince Oct 30, 2017 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince May 1, 2012 Accepting new patients
Brigham and Women'S Hospital Current Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince May 1, 2012 Accepting new patients
Kent County Memorial Hospital Cardiovascular Disease CurrentSince Mar 12, 2014 Accepting new patients
Kent County Memorial Hospital CurrentSince Mar 12, 2014 Accepting new patients
Jonathan C Lin M D Medical Corporation Current Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Dec 5, 2017 Accepting new patients
Affinity Physicians LLC CurrentSince Oct 30, 2017 Accepting new patients
Brigham & Womens Hospital, Inc. Past Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients

Locations

35900 Bob Hope Dr
Ste 275
Rancho Mirage, CA 92270
Phone (760) 321-2500

75 Francis St
Boston, MA 02115

375 Boylston St
Brookline, MA 02445
Phone (508) 718-4010

850 Boylston St
Ste 402
Chestnut Hill, MA 02467
Phone (617) 505-6748

200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

1076 N Main St
Providence, RI 02904
Phone (401) 273-2460

400 Bald Hill Rd
Ste 524
Warwick, RI 02886
Phone (401) 737-7313

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

Interoperability endpoints

  • Direct secure messaging: jarbeau.jennifer.bwh@direct.partners.masshiway.net
  • Direct secure messaging: jjarbeau@kent.cernerdirect.carene.org
  • Direct secure messaging: jjarbeau@direct.carene.org

Organizations & group practices 11

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 7

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1023012572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILL ROAD",
            "address_2": "SUITE 180",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195252",
            "telephone_number": "508-973-2000",
            "fax_number": "508-973-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BALD HILL RD STE 524",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028866100",
            "telephone_number": "401-737-7313",
            "fax_number": "401-737-4207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Francis St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021156110",
            "country_code": "US",
            "telephone_number": "857-307-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARBEAU",
        "first_name": "JENNIFER",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "202597",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "RI",
            "license": "MD11425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9003542",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.