Mohamed Barghout, MD
Individual provider Active NPI Internal Medicine Physician · Providence, RI
NPI 1205765302 · NPPES record last updated Jul 11, 2026
Key facts
- NPI
- 1205765302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- LP07105 (RI)
- Practice address
- 825 Chalkstone Ave
Providence, RI 02908-4728 - Phone
- (401) 456-2000
- NPI assigned
- May 15, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LP07105 | RI | Yes |
Addresses
Primary practice location
825 Chalkstone Ave
Providence, RI 02908-4728
Mailing address
825 Chalkstone Ave
Providence, RI 02908-4728
Other providers in Providence, RI
- Colleen Barboza-Cartwright
- Michelle Lee Barboza
- Alicia M. Barcelo
- Christin Lynn Barden
- Cindy E Barg
- Jennifer Bargnesi
- Rebekah Baribault
- Shawn Barillaro
- Mercedes Barinas
- David Heaton Barker
All providers in Providence, RI · Internal Medicine Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.