NPIMap

Individual provider Active NPI

Cally Rodrigues, PA-C

  • Physician Assistant
  • Providence, RI
National Provider Identifier
1174193387
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01344 Issued in RI
Practice address
100 Dudley St FL 3
Providence, RI 02905-3233
Phone
(401) 453-7953
Fax
(401) 453-7790
NPI assigned
Jun 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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 PA01344 RI Primary

Addresses

Primary practice location

100 Dudley St FL 3
Providence, RI 02905-3233

Mailing address

41 Sanderson Rd
Smithfield, RI 02917-2602
Phone (401) 349-0366

Other practice location 1

101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1100

Other practice location 2

41 Sanderson Rd
Smithfield, RI 02917-2602
Phone (401) 349-0366

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
I20210802000141 RI Practitioner - Physician Assistant 4284038076 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1122

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

455 Tollgate Rd
Warwick, RI 02886-2759

Hospital & facility affiliations

  • Women & Infants Hospital of Rhode Island Hospital, Providence, RI, CCN 410010
  • Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Hospital Physician Assistant CurrentSince Jun 10, 2024 Accepting new patients
Affinity Physicians LLC CurrentSince Apr 27, 2025 Accepting new patients
Lifespan Physician Group, Inc. Physician Assistant CurrentSince Sep 1, 2023 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Rhode Island Hospital CurrentSince Jun 10, 2024 Accepting new patients
Rhode Island Hospital Past Accepting new patients
Women & Infants Hospital of Rhode Island Past Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients

Locations

900 Warren Ave
Ste 302
East Providence, RI 02914
Phone (401) 444-8344

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

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

593 Eddy St
Bldg 1ST
Providence, RI 02903

593 Eddy St
Providence, RI 02903

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

41 Sanderson Rd
Ste 103
Smithfield, RI 02917
Phone (401) 349-0366

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

Organizations & group practices 9

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": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1174193387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 SANDERSON RD",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029172602",
            "telephone_number": "401-349-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DUDLEY ST FL 3",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053233",
            "telephone_number": "401-453-7953",
            "fax_number": "401-453-7790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Dudley St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029052401",
            "country_code": "US",
            "telephone_number": "401-274-1100",
            "fax_number": "401-453-7666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41 Sanderson Rd",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "RI",
            "postal_code": "029172602",
            "country_code": "US",
            "telephone_number": "401-349-0366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUES",
        "first_name": "CALLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA01344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.