NPIMap

Individual provider Active NPI

Edward Medeiros, DO

  • Nephrology Physician
  • Warwick, RI
National Provider Identifier
1144616715
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
DO00920 Issued in RI
Practice address
250 Centerville Rd BLDG E
Warwick, RI 02886-4400
Phone
(401) 649-4070
Fax
(401) 649-4071
NPI assigned
Apr 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X DO00920 RI Primary

Addresses

Primary practice location

250 Centerville Rd BLDG E
Warwick, RI 02886-4400

Mailing address

Dept 3010, PO Box 986524
Boston, MA 02298-6524
Phone (401) 443-4992

Other practice location 1

70 Kenyon Ave Ste 270
Wakefield, RI 02879-4253
Phone (401) 782-0090

Other practice location 2

1076 N Main St
Providence, RI 02904-5760
Phone (401) 861-7711

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200601002689 RI Practitioner - Nephrology 9830496371 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of New England, College of Osteo Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brown MedicineGroup PAC ID 0446159776, 220 clinicians
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

Practice addresses (Care Compare)

250 Centerville Rd
BLDG E
Warwick, RI 02886-4400
Phone (401) 490-3838

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.78 of 100Reported as individual
Quality
97.83
Promoting interoperability
95
Improvement activities
40
Cost
79.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO00920RIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Medicine Nephrology Current Accepting new patients
Affinity Physicians LLC. Current Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Brown Medicine Nephrology CurrentSince Jul 6, 2025 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Hypertension & Nephrology, Inc. CurrentSince Jul 1, 2020 Accepting new patients

Locations

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

593 Eddy St
Providence, RI 02903

245 Chapman St
Ste 300
Providence, RI 02905
Phone (401) 444-4741

110 Elm St
Fl 2
Providence, RI 02903

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

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

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

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

70 Kenyon Ave
Ste 270
Wakefield, RI 02879
Phone (401) 782-0090

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

250 Centerville Rd
Bldg A
Warwick, RI 02886
Phone (401) 384-6490

Interoperability endpoints

  • Direct secure messaging: emedeiros16287@direct.carene.org

Organizations & group practices 8

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 12

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": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1144616715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 3010, PO BOX 986524",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022986524",
            "telephone_number": "401-443-4992",
            "fax_number": "401-784-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CENTERVILLE RD BLDG E",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864400",
            "telephone_number": "401-649-4070",
            "fax_number": "401-649-4071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Kenyon Ave Ste 270",
            "address_purpose": "LOCATION",
            "city": "Wakefield",
            "state": "RI",
            "postal_code": "028794253",
            "country_code": "US",
            "telephone_number": "401-782-0090",
            "fax_number": "401-782-0888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1076 N Main St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029045760",
            "country_code": "US",
            "telephone_number": "401-861-7711",
            "fax_number": "401-421-5710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDEIROS",
        "first_name": "EDWARD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-10",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "RI",
            "license": "DO00920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.