Active NPI
Larissa Kruger Gomes, M.D.
- Nephrology Physician
- East Providence, RI
National Provider Identifier
1275914509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD17549
- Practice address
- 314 Taunton Ave
East Providence, RI 02914-2641 - Phone
- (401) 438-5950
- Fax
- (401) 435-2561
- NPI assigned
- Jun 11, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD17549 | RI | Primary |
| Internal Medicine Physician | 207R00000X | MD17549 | RI |
Addresses
Primary practice location
314 Taunton Ave
East Providence, RI 02914-2641
Mailing address
318 Waterman Ave
East Providence, RI 02914-3525
Phone (401) 438-5950
Other practice location 1
318 Waterman Ave
East Providence, RI 02914-3525
Phone (401) 438-5950
Other practice location 2
1526 Atwood Ave
Johnston, RI 02919-3289
Phone (401) 438-5950
Other practice location 3
1775 Bald Hill Rd
Warwick, RI 02886-4231
Phone (401) 438-5950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
211 Park St
Attleboro, MA 02703-3143
Phone (401) 438-5950
314 Taunton Ave
East Providence, RI 02914-2641
Phone (401) 438-5950
Hospital & facility affiliations
- Dialysis Center of East Providence
- The Miriam Hospital
- Kent County Memorial Hospital
- Rhode Island Hospital
- Newport Hospital
- Sturdy Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.28 of 100
- Quality
- 96.1
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 78.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD17549 | RI | MD | Internal Medicine Physician |
Interoperability endpoints
- larissa.kruger.gomes.1@25334.direct.athenahealth.com
Organizations & group practices 1
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.
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- East Providence, RI
- NPI 1194837773
Dialysis facility
-
- Rehabilitation Hospital Unit
- Warwick, RI
- NPI 1023017944
-
- General Acute Care Hospital
- Warwick, RI
- NPI 1386643294
-
- General Acute Care Hospital
- Newport, RI
- NPI 1457346413
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
-
- General Acute Care Hospital
- Attleboro, MA
- NPI 1730106162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1275914509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 WATERMAN AVE",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029143525",
"telephone_number": "401-438-5950",
"fax_number": "401-435-2561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 TAUNTON AVE",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029142641",
"telephone_number": "401-438-5950",
"fax_number": "401-435-2561"
}
],
"practiceLocations": [
{
"address_1": "318 Waterman Ave",
"address_purpose": "LOCATION",
"city": "East Providence",
"state": "RI",
"postal_code": "029143525",
"country_code": "US",
"telephone_number": "401-438-5950",
"fax_number": "401-435-2561",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1526 Atwood Ave",
"address_purpose": "LOCATION",
"city": "Johnston",
"state": "RI",
"postal_code": "029193289",
"country_code": "US",
"telephone_number": "401-438-5950",
"fax_number": "401-435-2561",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1775 Bald Hill Rd",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028864231",
"country_code": "US",
"telephone_number": "401-438-5950",
"fax_number": "401-435-2561",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRUGER GOMES",
"first_name": "LARISSA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-11",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "RI",
"license": "MD17549",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD17549",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.