Individual provider Active NPI

Gaurav Jindal

  • Diagnostic Radiology Physician
  • Warwick, RI
National Provider Identifier
1093021966
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD15432 Issued in RI
Practice address
125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785
Phone
(401) 432-2500
Fax
(401) 921-9212
NPI assigned
Aug 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 1019954 MA
Diagnostic Radiology Physician 2085R0202X MD154321 RI
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X MD15432 RI Primary

Addresses

Primary practice location

125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785

Mailing address

125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785
Phone (401) 432-2500

Other practice location 1

211 Park St
Attleboro, MA 02703-3143
Phone (508) 222-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160614002537 RI Practitioner - Diagnostic Radiology 2163660176 Reassigns benefits to 1 organization
I20241120002866 MA Practitioner - Diagnostic Radiology 2163660176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rhode Island Medical Imaging IncGroup PAC ID 8022097815, shared by 2 NPIs, 107 clinicians

Practice addresses (Care Compare)

1 Kettle Point Ave
East Providence, RI 02914-5375
Phone (401) 626-3900

115 Cass Ave
Woonsocket, RI 02895-4705
Phone (401) 767-1594

1301 Reservoir Ave
Cranston, RI 02920-6034
Phone (401) 921-9316

1500 Mineral Spring Ave
North Providence, RI 02904-3130
Phone (401) 921-9314

1525 Wampanoag TRL
Suite 101
Riverside, RI 02915-1038
Phone (401) 433-1166

1539 Atwood Ave
Suite LL1
Johnston, RI 02919-3262
Phone (401) 921-9202

200 High Service Ave
North Providence, RI 02904-5113
Phone (401) 456-3000

211 Park St
Attleboro, MA 02703-3143
Phone (508) 222-5200

250 Toll Gate Rd
Warwick, RI 02886-4411
Phone (401) 921-9315

333 School St
Suite 105
Pawtucket, RI 02860-5335
Phone (401) 728-3040

41 Sanderson Rd
Suite 109
Smithfield, RI 02917-2611
Phone (401) 921-9202

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

481 Kingstown Rd
Wakefield, RI 02879-3626
Phone (401) 921-9202

65 Sockanosset Cross Rd
Cranston, RI 02920-5536
Phone (401) 921-9202

Hospital & facility affiliations

  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007
  • Sturdy Memorial Hospital Hospital, Attleboro, MA, CCN 220008
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Newport Hospital Hospital, Newport, RI, CCN 410006
  • Roger Williams Medical Center Hospital, Providence, RI, CCN 410004

Merit-based Incentive Payment System (MIPS)

Final score
86.17 of 100Reported as group
Quality
82.44
Improvement activities
40
Cost
86.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD154321RIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Medical Imaging Inc Diagnostic Radiology CurrentSince Jun 26, 2022 Accepting new patients
Rhode Island Medical Imaging Inc Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients

Locations

60 Messenger St
Plainville, MA 02762
Phone (508) 695-0055

211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200

20 Catamore Blvd
East Providence, RI 02914
Phone (401) 432-2520

593 Eddy St
Providence, RI 02903

1 Randall Sq
Providence, RI 02904
Phone (401) 272-5500

125 Metro Center Blvd
Ste 2000
Warwick, RI 02886
Phone (401) 432-2520

Organizations & group practices 2

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": "1283040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1093021966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 METRO CENTER BLVD STE 2000",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861785",
            "telephone_number": "401-432-2500",
            "fax_number": "401-921-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 METRO CENTER BLVD STE 2000",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861785",
            "telephone_number": "401-432-2500",
            "fax_number": "401-921-9212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Park St",
            "address_purpose": "LOCATION",
            "city": "Attleboro",
            "state": "MA",
            "postal_code": "027033143",
            "country_code": "US",
            "telephone_number": "508-222-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JINDAL",
        "first_name": "GAURAV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-29",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "1019954",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "MD154321",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "MD15432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.