Donald R Coustan, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Providence, RI
NPI 1215911367 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1215911367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 6028 (RI)
- Practice address
- 101 Dudley St
Providence, RI 02905-2401 - Phone
- (401) 274-1122
- Fax
- (401) 453-7599
- NPI assigned
- Dec 2, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6028 | RI | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women & Infants Hospital of Rhode Island | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 6028 | RI | |
| Obstetrics & Gynecology Physician | 207V00000X | 6028 | RI | Yes |
Addresses
Primary practice location
101 Dudley St
Providence, RI 02905-2401
Mailing address
101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1122
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7003805 | Medicaid | RI |
Other providers in Providence, RI
- Countess Wellness LLC
- Gwynne Coupe
- Michelle Courchaine
- Lauren Cournoyer
- Madeline Courtney
- Maria Teresa Coutinho
- Deborah A Coutu Cham
- Crystal Couture-Curry
- Oscar Covarrubias
- Cove Center,Inc
All providers in Providence, RI · Obstetrics & Gynecology 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 13, 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.