Megan Boateng
Individual provider Active NPI Family Medicine Physician · Woonsocket, RI
NPI 1134814510 · NPPES record last updated Sep 1, 2026
Key facts
- NPI
- 1134814510
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD21485 (RI)
- Practice address
- 450 Clinton St
Woonsocket, RI 02895-3207 - Phone
- (401) 767-4100
- NPI assigned
- Apr 10, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| I20231005002988 | RI | Order and Referring Only - Family Practice |
2466807763 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | LP06045 | RI | |
| Family Medicine Physician | 207Q00000X | MD21485 | RI | Yes |
Addresses
Primary practice location
450 Clinton St
Woonsocket, RI 02895-3207
Mailing address
111 Brewster St
Pawtucket, RI 02860-4400
Other practice location 1
1 River St
Wakefield, RI 02879-3214
Phone (401) 767-4100
Other practice location 2
186 Providence St
West Warwick, RI 02893-2508
Phone (401) 767-4100
Other practice location 3
111 Brewster St
Pawtucket, RI 02860-4400
Phone (401) 729-2206
Other practice location 4
360 Kingstown Rd Unit 101
Narragansett, RI 02882-3258
Phone (401) 767-4100
Other providers in Woonsocket, RI
- Blackstone Valley Eye Care, P.C.
- Blackstone Valley Optometry PC
- Abigail Blais
- Andrew Cecil Blake Jr.
- Leslie Arleen Bluett
- Linda Carole Boden
- Judy H Bolzani
- Cynthia Marie Bonaldi
- Francisco Miguel Bonilla
- Julius John Bonner
All providers in Woonsocket, RI · Family Medicine 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 Sep 1, 2026. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.