Individual provider Active NPI

Pamela Marie Bagdasian, PA-C

  • Physician Assistant
  • Pawtucket, RI
National Provider Identifier
1154487080
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00310 Issued in RI
Practice address
333 School St Ste 109
Pawtucket, RI 02860-5335
Phone
(401) 227-9940
Fax
(401) 227-9939
NPI assigned
Dec 28, 2006
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00310 RI Primary

Addresses

Primary practice location

333 School St Ste 109
Pawtucket, RI 02860-5335

Mailing address

15 Land Way
North Scituate, RI 02857-1265

Other practice location 1

982 Tiogue Ave
Coventry, RI 02816-6116
Phone (401) 600-2777

Other practice location 2

400 Putnam Pike
Smithfield, RI 02917-2408
Phone (401) 757-6160

Other practice location 3

2140 Mendon Rd
Cumberland, RI 02864-3843
Phone (401) 642-2072

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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080502000086 RI Practitioner - Physician Assistant 8325003262 Reassigns benefits to 2 organizations
I20260115002713 MA Practitioner - Physician Assistant 8325003262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Otolaryngology-Head and Neck Surgery, Inc.Group PAC ID 3274613930, 19 clinicians
Dispatchhealth Massachusetts PCGroup PAC ID 0840542791, 22 clinicians

Practice addresses (Care Compare)

1351 S County TRL
East Greenwich, RI 02818-5083

15 Land Way Unit
Suite 9
Scituate, RI 02857-1265

300 1St Ave
Suite 101
Needham, MA 02494-2737
Phone (303) 500-1518

3825 N Lafayette St
Denver, CO 80205-3316

830 Eddy St
Providence, RI 02905-4810
Phone (401) 885-8484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth Massachusetts PC CurrentSince Dec 10, 2025 Accepting new patients
University Otolaryngology Head & Neck Surgery Inc. PastSince Jan 1, 1990 Accepting new patients
Excella Home Health Agency, LLC Past Accepting new patients
Nri Medical Services, Incorporated PastSince Aug 1, 2009 Accepting new patients

Locations

567 Southbridge St
Ste 10
Auburn, MA 01501
Phone (413) 998-1980

300 1st Ave
Ste 101
Needham, MA 02494

123 Park Ave
West Springfield, MA 01089
Phone (413) 732-8700

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1154487080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LAND WAY",
            "city": "NORTH SCITUATE",
            "state": "RI",
            "postal_code": "028571265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SCHOOL ST STE 109",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605335",
            "telephone_number": "401-227-9940",
            "fax_number": "401-227-9939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "982 Tiogue Ave",
            "address_purpose": "LOCATION",
            "city": "Coventry",
            "state": "RI",
            "postal_code": "028166116",
            "country_code": "US",
            "telephone_number": "401-600-2777",
            "fax_number": "401-821-8513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Putnam Pike",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "RI",
            "postal_code": "029172408",
            "country_code": "US",
            "telephone_number": "401-757-6160",
            "fax_number": "401-349-0840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2140 Mendon Rd",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "RI",
            "postal_code": "028643843",
            "country_code": "US",
            "telephone_number": "401-642-2072",
            "fax_number": "401-305-3958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGDASIAN",
        "first_name": "PAMELA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA00310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.