Geetha Gopalakrishnan, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

MD10756 Issued in RI

Practice address

375 Wampanoag TRL Ste 202B
Riverside, RI 02915-2234

Phone

(401) 649-4090

Fax

(401) 649-4091

NPI assigned

May 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Endocrinology

Education

Texas a & M University System, HSC, College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

Brown MedicineGroup PAC ID 0446159776, 220 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Miriam Hospital Hospital, Providence, RI, CCN 410012
• Rhode Island Hospital Hospital, Providence, RI, CCN 410007
• Women & Infants Hospital of Rhode Island Hospital, Providence, RI, CCN 410010
• South County Hospital Inc Hospital, Wakefield, RI, CCN 410008
• Newport Hospital Hospital, Newport, RI, CCN 410006

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ggopalakrishnan@direct.carene.org
• Direct secure messaging: ggopalakrishnan@wih.cernerdirect.carene.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brown Medicine

  • Internal Medicine Physician
  • Riverside, RI
  • NPI 1689626764

  Endocrinology, Diabetes & Metabolism

  Medicare reassignment Care Compare group NPD
• Lifespan Physician Group, Inc.

  dba Brown Health Medical Group

  • General Practice Physician
  • Providence, RI
  • NPI 1407116643
  Medicare reassignment Care Compare group NPD
• Rhode Island Hospital

  • Multi-Specialty Clinic/Center
  • Providence, RI
  • NPI 1154537520
  Medicare reassignment NPD
• The Miriam Hospital

  dba Womens Medicine Collaborative

  • Multi-Specialty Clinic/Center
  • Providence, RI
  • NPI 1164716031
  Medicare reassignment NPD
• Brown Medicine

  • Gastroenterology Physician
  • Providence, RI
  • NPI 1730827767
  NPD
• Lifespan Physician Group, Inc.

  dba Brown Health Medical Group

  • Emergency Medicine Physician
  • Providence, RI
  • NPI 1568325678
  NPD
• The Miriam Hospital

  • Cardiac Rehabilitation Clinic/Center
  • East Greenwich, RI
  • NPI 1518482389
  NPD
• The Miriam Hospital

  • Multi-Specialty Clinic/Center
  • Providence, RI
  • NPI 1598978744
  NPD
• The Miriam Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1770520462
  NPD
• The Miriam Hospital

  dba The Men's Health Center

  • Adult Medicine Physician
  • Providence, RI
  • NPI 1831362813
  NPD
• The Miriam Hospital

  • Cardiovascular Disease Physician
  • Providence, RI
  • NPI 1851677470
  NPD
• Women & Infants Hospital of Rhode Island

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1447233788
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Newport Hospital

  • General Acute Care Hospital
  • Newport, RI
  • NPI 1457346413
  Care Compare affiliation
• Rhode Island Hospital

  dba LifePact

  • Ambulance
  • Providence, RI
  • NPI 1053552299

  Hospital

  Care Compare affiliation
• Rhode Island Hospital

  • Clinic/Center
  • Providence, RI
  • NPI 1154663383

  Hospital

  Care Compare affiliation
• Rhode Island Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1588659528
  Care Compare affiliation
• Rhode Island Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1972768174
  Care Compare affiliation
• South County Hospital Healthcare System

  • General Acute Care Hospital
  • Wakefield, RI
  • NPI 1952366106
  Care Compare affiliation
• The Miriam Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1487649430
  Care Compare affiliation
• Women & Infants Hospital of Rhode Island

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1447233788
  Care Compare affiliation

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1235183450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ELM ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034626",
            "telephone_number": "401-649-4090",
            "fax_number": "401-649-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 WAMPANOAG TRL STE 202B",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029152234",
            "telephone_number": "401-649-4090",
            "fax_number": "401-649-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPALAKRISHNAN",
        "first_name": "GEETHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "RI",
            "license": "MD10756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9023829",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reginald Y Gohh, MD
• Andrea Lillian Gold, PH.D.
• Bethany Marie Goldberg, NP
• Michael Daniel Gomez, PH.D.
• Kayla Goncalves
• Vidya Gopinath, M.D.
• Jennifer Goslin, RN
• Laurie J Grauel, MD
• Greater Providence Chapter,Riarc (John E. Fogarty Center)
• Green Line Supply LLC

• Endocrinology, Diabetes & Metabolism Physician in Riverside, RI
• Providers in Riverside, RI by specialty
• Endocrinology, Diabetes & Metabolism Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.

Verify at the official NPI Registry.