NPIMap

Organization Active NPI

The Miriam Hospital

  • General Acute Care Hospital
  • Providence, RI
National Provider Identifier
1225073638
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
THE MIRIAM HOSPITAL
Practice address
146 W River St Ste 11a
Providence, RI 02904-2609
Phone
(401) 793-8770
Fax
(401) 793-8709
NPI assigned
Jun 19, 2006
Last updated
Feb 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Authorized official

Name
Peter M Markell
Title
Evp & Cfo
Phone
(401) 444-7914

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary
Physician Assistant 363A00000X NU
Medical Physician Assistant 363AM0700X NU
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X NU
Mental Health Counselor 101YM0800X NU
Clinical Psychologist 103TC0700X NU
Clinical Social Worker 1041C0700X NU
Registered Dietitian 133V00000X NU
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X NU
Internal Medicine Physician 207R00000X NU
Neurology Physician 2084N0400X NU
Psychiatry Physician 2084P0800X NU
Surgery Physician 208600000X NU

Addresses

Primary practice location

146 W River St Ste 11a
Providence, RI 02904-2609

Mailing address

15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 444-6779

Other practice location 1

262 Poplar St
Woonsocket, RI 02895-3747
Phone (401) 793-4301

Other practice location 2

125 Scituate Ave
Cranston, RI 02921-1838
Phone (401) 793-4301

Other practice location 3

104 Clay St
Central Falls, RI 02863-3023
Phone (401) 793-4301

Other practice location 4

101 Highland Ave
Providence, RI 02906-2748
Phone (401) 793-4301

Other practice location 5

100 Smithfield Rd
North Providence, RI 02904-5382
Phone (401) 793-4301

Other practice location 6

100 Borden St
Providence, RI 02903-4803
Phone (401) 793-4301

Other practice location 7

10 Rhodes Ave
North Smithfield, RI 02896-6987
Phone (401) 793-4301

Other practice location 8

1 Evergreen Dr
East Providence, RI 02914-1506
Phone (401) 793-4301

Other practice location 9

15 Sumner Brown Rd
Cumberland, RI 02864-1214
Phone (401) 793-4301

Other practice location 10

111 S Angell St
Providence, RI 02906-5309
Phone (401) 831-2870

Other practice location 11

5 Saint Elizabeth Way
East Greenwich, RI 02818-2164
Phone (401) 793-4301

Other practice location 12

500 Waterfront Dr
East Providence, RI 02914-5048
Phone (401) 793-4301

Other practice location 13

1275 S Broadway
East Providence, RI 02914-4932
Phone (401) 793-4301

Other practice location 14

54 Barker Ave
Warren, RI 02885-2025
Phone (401) 793-4301

Other practice location 15

568 Child St
Warren, RI 02885-1734
Phone (401) 793-4301

Other practice location 16

200 Wampanoag Trl
Riverside, RI 02915-2206
Phone (401) 793-4301

Other practice location 17

57 Stokes St
Warwick, RI 02889-3425
Phone (401) 793-4301

Other practice location 18

164 Summit Avenue Fain Bldg
Providence, RI 02906-2853
Phone (401) 793-4300

Other practice location 19

1 Saint Elizabeth Way
East Greenwich, RI 02818-2163
Phone (401) 471-6060

Other practice location 20

964 Main St
Pawtucket, RI 02860-4842
Phone (401) 793-4301

Other identifiers 2

IdentifierTypeStateIssuer
MI72815 - PSYCHMedicaidRI
1225073638MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040625000150 RI Part B Supplier - Clinic/Group Practice 6901796408 Receives reassigned benefits from 31 practitioners
Practice locations: Providence, RI

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

125 Scituate Ave
Cranston, RI 02921
Phone (401) 944-2100

568 Child St
Warren, RI 02885
Phone (401) 245-1574

57 Stokes St
Warwick, RI 02889
Phone (401) 738-1200

Practitioners & affiliated clinicians

Practitioners 144

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 144

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1225073638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LA SALLE SQ",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029031814",
            "telephone_number": "401-444-6779",
            "fax_number": "401-444-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 W RIVER ST STE 11A",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042609",
            "telephone_number": "401-793-8770",
            "fax_number": "401-793-8709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "262 Poplar St",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028953747",
            "country_code": "US",
            "telephone_number": "401-793-4301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Scituate Ave",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029211838",
            "country_code": "US",
            "telephone_number": "401-793-4301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Clay St",
            "address_purpose": "LOCATION",
            "city": "Central Falls",
            "state": "RI",
            "postal_code": "028633023",
            "country_code": "US",
            "telephone_number": "401-793-4301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029062748",
            "country_code": "US",
            "telephone_number": "401-793-4301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Smithfield Rd",
            "address_purpose": "LOCATION",
            "city": "North Providence",
            "state": "RI",
            "postal_code": "029045382",
            "country_code": "US",
            "telephone_number": "401-793-4301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Borden St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034803",
            "country_code": "US",
            "telephone_number": "401-793-4301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Rhodes Ave",
            "address_purpose": "LOCATION",
            "city": "North Smithfield",
            "state": "RI",
            "postal_code": "028966987",
            "country_code": "US",
            "telephone_number": "401-793-4301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Evergreen Dr",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029141506",
            "country_code": "US",
            "telephone_number": "401-793-4301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Sumner Brown Rd",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "RI",
            "postal_code": "028641214",
            "country_code": "US",
            "telephone_number": "401-793-4301",
            "fax_number": "401-793-4312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 S Angell St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029065309",
            "country_code": "US",
            "telephone_number": "401-831-2870",
            "fax_number": "401-331-9570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Saint Elizabeth Way",
            "address_purpose": "LOCATION",
            "city": "East Greenwich",
            "state": "RI",
            "postal_code": "028182164",
            "country_code": "US",
            "telephone_number": "401-793-4301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Waterfront Dr",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029145048",
            "country_code": "US",
            "telephone_number": "401-793-4301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1275 S Broadway",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029144932",
            "country_code": "US",
            "telephone_number": "401-793-4301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "54 Barker Ave",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "RI",
            "postal_code": "028852025",
            "country_code": "US",
            "telephone_number": "401-793-4301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "568 Child St",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "RI",
            "postal_code": "028851734",
            "country_code": "US",
            "telephone_number": "401-793-4301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Wampanoag Trl",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "RI",
            "postal_code": "029152206",
            "country_code": "US",
            "telephone_number": "401-793-4301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "57 Stokes St",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028893425",
            "country_code": "US",
            "telephone_number": "401-793-4301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "164 Summit Avenue Fain Bldg",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029062853",
            "country_code": "US",
            "telephone_number": "401-793-4300",
            "fax_number": "401-793-4312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Saint Elizabeth Way",
            "address_purpose": "LOCATION",
            "city": "East Greenwich",
            "state": "RI",
            "postal_code": "028182163",
            "country_code": "US",
            "telephone_number": "401-471-6060",
            "fax_number": "401-471-6072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "964 Main St",
            "address_purpose": "LOCATION",
            "city": "Pawtucket",
            "state": "RI",
            "postal_code": "028604842",
            "country_code": "US",
            "telephone_number": "401-793-4301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE MIRIAM HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "MARKELL",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EVP & CFO",
        "authorized_official_telephone_number": "401-444-7914"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MI72815 - PSYCH",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225073638",
            "state": "RI"
        }
    ],
    "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 Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.