Active NPI
Tamara Koritarov, DO
- Gastroenterology Physician
- Warwick, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- DO01191
- Practice address
- 455 Toll Gate Rd
Warwick, RI 02886-2770 - Phone
- (401) 737-7010
- NPI assigned
- Mar 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Gastroenterology Physician | 207RG0100X | DO01191 | RI | Primary |
| Internal Medicine Physician | 207R00000X | LP04714 | RI |
Addresses
Primary practice location
455 Toll Gate Rd
Warwick, RI 02886-2770
Mailing address
455 Toll Gate Rd
Warwick, RI 02886-2770
Phone (401) 737-7010
Other practice location 1
455 Toll Gate RD ASP Bld
Warwick, RI 02886
Phone (401) 738-6611
Other practice location 2
101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1122
Other practice location 3
1050 Main St
East Greenwich, RI 02818-3161
Phone (401) 453-7953
Other practice location 4
100 Dudley St Fl 3
Providence, RI 02905-3233
Phone (401) 453-7953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190731003075 | RI | Order and Referring Only - Internal Medicine | 6103152962 |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
455 Toll Gate Rd
Warwick, RI 02886-2770
Hospital & facility affiliations
- Kent County Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Physicians LLC. | Internal Medicine | Current | Accepting new patients |
Locations
101 Dudley St
Providence, RI 02905
Phone (401) 453-7950
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
Interoperability endpoints
- tkoritarov@direct.carene.org
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Warwick, RI
- NPI 1184944662
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Warwick, RI
- NPI 1023017944
-
- General Acute Care Hospital
- Warwick, RI
- NPI 1386643294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1194286799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 TOLL GATE RD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028862770",
"telephone_number": "401-737-7010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 TOLL GATE RD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028862770",
"telephone_number": "401-737-7010"
}
],
"practiceLocations": [
{
"address_1": "455 Toll Gate RD ASP Bld",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "02886",
"country_code": "US",
"telephone_number": "401-738-6611",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Dudley St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029052401",
"country_code": "US",
"telephone_number": "401-274-1122",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1050 Main St",
"address_purpose": "LOCATION",
"city": "East Greenwich",
"state": "RI",
"postal_code": "028183161",
"country_code": "US",
"telephone_number": "401-453-7953",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Dudley St Fl 3",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029053233",
"country_code": "US",
"telephone_number": "401-453-7953",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KORITAROV",
"first_name": "TAMARA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-26",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "RI",
"license": "DO01191",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "LP04714",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.