Individual provider Active NPI

Iris L Tong, MD

  • Internal Medicine Physician
  • Providence, RI
National Provider Identifier
1033150586
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD10675 Issued in RI
Practice address
1195 North Main Street
Cnemg Primary Care WMC
Providence, RI 02904-0288
Phone
(401) 736-4562
Fax
(401) 921-9864
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD10675 RI Primary

Addresses

Primary practice location

1195 North Main Street
Cnemg Primary Care WMC
Providence, RI 02904-0288

Mailing address

455 Toll Gate Rd
PRC and Credentialing
Warwick, RI 02886-2759
Phone (401) 273-0641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040615000051 RI Practitioner - Internal Medicine 2567446966 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Affinity Physicians LLC. 723 clinicians
Coastal Medical Physicians Inc 222 clinicians

Practice addresses (Care Compare)

101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1122

146 W River St
Providence, RI 02904-2609
Phone (401) 793-5700

Hospital & facility affiliations

  • Women & Infants Hospital of Rhode Island Hospital, Providence, RI, CCN 410010
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007
  • Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Miriam Hospital Current Accepting new patients
Affinity Physicians LLC CurrentSince Feb 1, 2025 Accepting new patients
The Miriam Hospital Current Accepting new patients
The Miriam Hospital Current Accepting new patients
The Miriam Hospital Current Accepting new patients
Coastal Medical Physicians, Inc. Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Coastal Medical Physicians, Inc. Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Affinity Physicians LLC. Internal Medicine CurrentSince Feb 1, 2025 Accepting new patients
Women & Infants Hospital of Rhode Island Past Accepting new patients

Locations

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

1195 N Main St
Providence, RI 02904
Phone (401) 654-4433

146 W River St
Fl 3
Providence, RI 02904
Phone (401) 793-5700

101 Dudley St
Providence, RI 02905
Phone (401) 453-7950

593 Eddy St
Providence, RI 02903

593 Eddy St
#6
Providence, RI 02903
Phone (401) 793-9166

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

146 W River St
Providence, RI 02904
Phone (401) 444-7442

146 W River St
Ste 11C
Providence, RI 02904
Phone (401) 606-3000

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

375 Wampanoag Trl
Riverside, RI 02915
Phone (401) 649-4010

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

Interoperability endpoints

  • Direct secure messaging: itong@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 8

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1033150586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "address_2": "PRC AND CREDENTIALING",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862759",
            "telephone_number": "401-273-0641",
            "fax_number": "401-273-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 NORTH MAIN STREET",
            "address_2": "CNEMG PRIMARY CARE WMC",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029040288",
            "telephone_number": "401-736-4562",
            "fax_number": "401-921-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONG",
        "first_name": "IRIS",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD10675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.