NPIMap

Individual provider Active NPI

Karen McGoldrick, MD

  • Obstetrics & Gynecology Physician
  • East Providence, RI
National Provider Identifier
1154341212
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD5870 Issued in RI
Practice address
450 Veterans Memorial Pkwy
East Providence, RI 02914-5300
Phone
(401) 434-7853
NPI assigned
Jul 20, 2006
Last updated
Mar 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD5870 RI Primary

Addresses

Primary practice location

450 Veterans Memorial Pkwy
East Providence, RI 02914-5300

Mailing address

450 Veterans Memorial Pkwy
East Providence, RI 02914-5300
Phone (401) 751-5111

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address karen.mcgoldrick.1@3516.direct.athenahealth.com Health Information Exchange (HIE)
Direct Messaging Address kmcgoldrick@wih.cernerdirect.carene.org Health Information Exchange (HIE)

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
I20040122000886 RI Practitioner - Obstetrics/Gynecology 1951203777 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Warren Alpert Medical School of Brown University, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern New England Healthcare for Women, LLCGroup PAC ID 0042486649, 26 clinicians

Practice addresses (Care Compare)

333 School St
Suite 205
Pawtucket, RI 02860-5336
Phone (401) 724-0600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD5870RIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC CurrentSince Jan 1, 2017 Accepting new patients
Affinity Physicians LLC. Obstetrics & Gynecology CurrentSince Jan 1, 2017 Accepting new patients
J. Gerald Smith, MD CurrentSince Jul 1, 2014 Accepting new patients
Southern New England Healthcare for Women, LLC Obstetrics & Gynecology CurrentSince Jan 1, 2013 Accepting new patients
University OB-GYN, Inc Obstetrics & Gynecology Past Accepting new patients
Partners in Obstetrics and Gynecology Obstetrics & Gynecology Past Accepting new patients

Locations

333 School St
Ste 205
Pawtucket, RI 02860
Phone (401) 724-0600

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

297 Promenade St
Providence, RI 02908
Phone (401) 490-6464

695 Eddy St
Ste 21
Providence, RI 02903
Phone (401) 272-1550

390 Toll Gate Rd
Ste 101
Warwick, RI 02886
Phone (401) 737-2280

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

Interoperability endpoints

  • Direct secure messaging: karen.mcgoldrick.1@3516.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1154341212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 VETERANS MEMORIAL PKWY",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029145300",
            "telephone_number": "401-751-5111",
            "fax_number": "401-751-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 VETERANS MEMORIAL PKWY",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029145300",
            "telephone_number": "401-434-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOLDRICK",
        "first_name": "KAREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "RI",
            "license": "MD5870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karen.mcgoldrick.1@3516.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena Direct Messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "450 Veterans Memorial Pkwy",
            "city": "East Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029145300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmcgoldrick@wih.cernerdirect.carene.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "101 Dudley St",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029052499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

Verify at the official NPI Registry.