Active NPI
John N Gaitanis, MD
- Neurology with Special Qualifications in Child Neurology Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- MD11298
- Practice address
- 593 Eddy St
George Building
Providence, RI 02903-4923 - Phone
- (401) 444-4000
- NPI assigned
- Jun 26, 2006
- Last updated
- Aug 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 213712 | MA | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | MD11298 | RI | Primary |
Addresses
Primary practice location
593 Eddy St
George Building
Providence, RI 02903-4923
Mailing address
1 Hoppin St
Suite 318
Providence, RI 02903-4141
Phone (781) 352-4777
Other practice location 1
115 Norwood Park S
Ste 106
Norwood, MA 02062-4641
Phone (781) 352-4777
Other practice location 2
2 Dudley Street
Ste 2
Providence, RI 02905-3236
Phone (781) 352-4777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA, CO, OR, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522
Phone (720) 225-1000
1139 E Sonterra Blvd
San Antonio, TX 78258-4347
Phone (210) 638-2000
115 Norwood Park S
Suite 106
Norwood, MA 02062-4633
Phone (347) 805-4641
1310 McCullough Ave
San Antonio, TX 78212-5601
Phone (210) 757-2200
1501 S Potomac St
Aurora, CO 80012-5411
Phone (303) 695-2600
1719 E 19TH Ave
Presbyterian St Lukes
Denver, CO 80218-1235
Phone (303) 839-6000
2 Dudley St
Providence, RI 02905-3236
Phone (347) 805-4641
501 E Hamden Ave
Englewood, CO 80113-2702
Phone (303) 788-6911
7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4000
9191 Grant St
Thornton, CO 80229-4361
Phone (303) 450-4482
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213712 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Neurology Associates PLLC | Neurology With Special Qualifications in Child Neurology | Current | Accepting new patients |
| Salem Health | Current | Accepting new patients | |
| Pna Group | Neurology With Special Qualifications in Child Neurology | Current | Accepting new patients |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Carepoint Inpatient Blue Sky Neurology PLLC | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients | |
| Blue Sky Telehealth, LLC | Neurology With Special Qualifications in Child Neurology | Current | Accepting new patients |
| Rhode Island Hospital | Current | Accepting new patients | |
| Carepoint Inpatient Blue Sky Neurology - Texas, PLLC | Current | Accepting new patients | |
| Rhode Island Hospital | Current | Accepting new patients |
Locations
501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300
5600 S Quebec St
Ste 312A
Greenwood Village, CO 80111
Phone (303) 343-6272
115 Norwood Park S
Ste 105
Norwood, MA 02062
115 Norwood Park S
Ste 106
Norwood, MA 02062
Phone (347) 805-4641
665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634
890 Oak St SE
Salem, OR 97301
Phone (503) 585-0830
1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000
701 George Washington Hwy
Ste 104
Lincoln, RI 02865
Phone (401) 444-8311
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
1 A St
Providence, RI 02919
Phone (401) 444-5685
1 Hoppin St
Ste 3
Providence, RI 02903
Phone (401) 793-8400
1 Hoppin St
Ste 318
Providence, RI 02903
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
2 Dudley St
Ste 2
Providence, RI 02905
Phone (347) 805-4641
2 Dudley St
Ste 530
Providence, RI 02905
Phone (401) 444-3799
593 Eddy St
Providence, RI 02903
593 Eddy St
Lowr
Providence, RI 02903
Phone (401) 444-4471
593 Eddy St
Ste 5
Providence, RI 02903
Phone (401) 444-3996
1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AJBJDD
- https://fhir4.healow.com/fhir/r4/AJBJDD/Endpoint/AJBJDD
Organizations & group practices 12
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.
-
- Neurology Physician
- Providence, RI
- NPI 1053101238
MA, Neurology With Special Qualifications in Child Neurology
-
- Neurology Physician
- Greenwood VLG, CO
- NPI 1952908725
TX
-
- Neurology Physician
- Englewood, CO
- NPI 1568833713
-
dba Brown Health Medical Group
- General Practice Physician
- Providence, RI
- NPI 1407116643
-
- Pediatrics Physician
- Providence, RI
- NPI 1861420333
-
- Neurology with Special Qualifications in Child Neurology Physician
- Greenwood Village, CO
- NPI 1649886458
RI
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
dba Brown Health Medical Group
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
dba Precision Neurology Associates PLLC
- Neurology with Special Qualifications in Child Neurology Physician
- Norwood, MA
- NPI 1396607776
-
- Durable Medical Equipment & Medical Supplies
- Keizer, OR
- NPI 1487434775
-
- Family Medicine Physician
- Woodburn, OR
- NPI 1578112066
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA HealthONE Swedish Hospital
- General Acute Care Hospital
- Englewood, CO
- NPI 1396790200
-
dba HCA HealthONE Sky Ridge Hospital
- General Acute Care Hospital
- Lone Tree, CO
- NPI 1659325629
-
dba HCA HealthONE Aurora Hospital
- General Acute Care Hospital
- Aurora, CO
- NPI 1659327013
-
dba HCA HealthONE Mental Health & Wellness Ctr-Adult OP, A part of Aurora
- General Acute Care Hospital
- Aurora, CO
- NPI 1720666142
-
dba HCA HealthONE Mental Health & Wellness Center-Adolescent OP, Aurora
- General Acute Care Hospital
- Aurora, CO
- NPI 1801474226
-
dba HCA HealthONE Centennial, A part of Aurora Hospital
- General Acute Care Hospital
- Englewood, CO
- NPI 1437713856
-
dba Behavioral Health Outpatient Services at Saddle Rock
- General Acute Care Hospital
- Aurora, CO
- NPI 1336868017
-
dba HCA HealthONE Mental Health & Wellness Center, A part of Aurora Hosp
- General Acute Care Hospital
- Centennial, CO
- NPI 1396323721
-
dba Centennial Hospital Wound Care Center
- General Acute Care Hospital
- Centennial, CO
- NPI 1407577315
-
dba HCA HealthONE Mental Health & Wellness Center, A part of Aurora Hosp
- Psychiatric Hospital
- Aurora, CO
- NPI 1437795424
-
dba The Medical Center of Aurora Green Valley Ranch Imaging Center
- General Acute Care Hospital
- Denver, CO
- NPI 1528604808
-
dba Cardiovascular Imaging at The Medical Center of Aurora
- General Acute Care Hospital
- Centennial, CO
- NPI 1609412980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1225065394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOPPIN ST",
"address_2": "SUITE 318",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034141",
"telephone_number": "781-352-4777",
"fax_number": "781-352-4778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 EDDY ST",
"address_2": "GEORGE BUILDING",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923",
"telephone_number": "401-444-4000"
}
],
"practiceLocations": [
{
"address_1": "115 Norwood Park S",
"address_2": "Ste 106",
"address_purpose": "LOCATION",
"city": "Norwood",
"state": "MA",
"postal_code": "020624641",
"country_code": "US",
"telephone_number": "781-352-4777",
"fax_number": "781-352-4778",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Dudley Street",
"address_2": "Ste 2",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029053236",
"country_code": "US",
"telephone_number": "781-352-4777",
"fax_number": "781-352-4778",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAITANIS",
"first_name": "JOHN",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "MA",
"license": "213712",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "RI",
"license": "MD11298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.