Kathryn Margaret Anderson, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Providence, RI
NPI 1043845514 · NPPES record last updated Apr 3, 2025
Key facts
- NPI
- 1043845514
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- MD20564 (RI)
- Practice address
- 101 Dudley St
Providence, RI 02905-2499 - Phone
- (401) 274-1100
- NPI assigned
- Mar 5, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Affinity Physicians LLC.
Practice addresses (Care Compare)
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010
Hospital & facility affiliations
- Women & Infants Hospital of Rhode Island
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 |
|---|---|---|---|---|
| I20250610001147 | RI | Practitioner - Obstetrics/Gynecology | 9537562228 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD20564 | RI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Physicians LLC. | Obstetrics & Gynecology | Current |
Accepting new patients |
| Affinity Physicians LLC | Current |
Accepting new patients |
Locations
101 Dudley St
Providence, RI 02905
Phone (401) 453-7950
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
Interoperability endpoints
- katanderson@direct.carene.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD20564 | RI | Yes |
Addresses
Primary practice location
101 Dudley St
Providence, RI 02905-2499
Mailing address
101 Dudley St
Providence, RI 02905-2499
Phone (401) 274-1100
Other providers in Providence, RI
- Angela Anderson
- George Anderson
- Grace Maglio Anderson
- Janet Louise Anderson
- Jared Anderson
- Kristin L Anderson
- Kyle Anderson
- Lauren Frances Anderson
- Micheline Ruth Anderson
- Shelley Vicky Anderson
All providers in Providence, RI · Obstetrics & Gynecology 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 Apr 3, 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.