Individual provider Active NPI

Ernesto A Mirabal, MD

  • Internal Medicine Physician
  • Central Falls, RI
National Provider Identifier
1215953377
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD11356 Issued in RI
Practice address
1002 Broad St Ste 1
Central Falls, RI 02863-1510
Phone
(401) 226-8716
NPI assigned
Jul 14, 2006
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD11356 RI Primary

Addresses

Primary practice location

1002 Broad St Ste 1
Central Falls, RI 02863-1510

Mailing address

54 Belvedere Dr
Cranston, RI 02920-4504
Phone (401) 785-1459

Other practice location 1

100 Crossing Blvd Ste 300
Framingham, MA 01702-5555
Phone (888) 964-6681

Other practice location 2

964 Broad Street
Central Falls, RI 02863
Phone (401) 722-0081

Other identifiers 1

IdentifierTypeStateIssuer
9003647MedicaidRI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041013000002 RI Practitioner - Internal Medicine 1658331871 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Value Based Long Term Care H PCGroup PAC ID 4587104641, 145 clinicians

Practice addresses (Care Compare)

1002 Broad St
Suite 1
Central Falls, RI 02863-1500

1002 Broad St
Suite 1
Central Falls, RI 02863-1510
Phone (401) 244-5550

135 Dodge St
Providence, RI 02907-2210
Phone (888) 964-6681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
HDC Care Solutions, LLC Internal Medicine CurrentSince Feb 1, 2026 Accepting new patients
Healthdrive Medical Services Southeast LLC Internal Medicine CurrentSince Feb 1, 2026 Accepting new patients
Blackstone Valley Community Health Care, Inc. Past Accepting new patients
Blackstone Valley Community Health Care, Inc. Past Accepting new patients

Locations

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

135 Dodge St
Providence, RI 02907
Phone (401) 383-5150

Interoperability endpoints

  • Direct secure messaging: ernesto.mirabal.1@24862.direct.athenahealth.com

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1215953377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 BELVEDERE DR",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204504",
            "telephone_number": "401-785-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 BROAD ST STE 1",
            "city": "CENTRAL FALLS",
            "state": "RI",
            "postal_code": "028631510",
            "telephone_number": "401-226-8716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Crossing Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017025555",
            "country_code": "US",
            "telephone_number": "888-964-6681",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "964 Broad Street",
            "address_purpose": "LOCATION",
            "city": "Central Falls",
            "state": "RI",
            "postal_code": "02863",
            "country_code": "US",
            "telephone_number": "401-722-0081",
            "fax_number": "401-724-2109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRABAL",
        "first_name": "ERNESTO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD11356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9003647",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Falls, RI

Sources for this page

Verify at the official NPI Registry.