Individual provider Active NPI

Fadya Elrayess, MD

  • Family Medicine Physician
  • Pawtucket, RI
National Provider Identifier
1285746925
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD10082 Issued in RI
Practice address
111 Brewster Street
Pawtucket, RI 02860
Phone
(401) 729-2206
Fax
(401) 729-3495
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD10082 RI Primary

Addresses

Primary practice location

111 Brewster Street
Pawtucket, RI 02860

Mailing address

111 Brewster Street
Wood BLDG #516
Pawtucket, RI 02860
Phone (401) 729-3481

Other practice location 1

345 Whitney Ave
New Haven, CT 06511-2348
Phone (203) 503-0450

Other practice location 2

175 Broad St
Providence, RI 02903-4026
Phone (401) 421-9620

Other identifiers 3

IdentifierTypeStateIssuer
001820702OtherRIMEDICARE PTAN
900451MedicaidRI
7007208MedicaidRI

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
I20101103000906 RI Practitioner - Family Practice 0749369965 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
George Washington University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thundermist Health CenterGroup PAC ID 1557270477, 161 clinicians
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

186 Providence St
West Warwick, RI 02893-2508
Phone (401) 615-2800

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thundermist Health Center CurrentSince May 4, 2019 Accepting new patients
Affinity Physicians LLC. Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Chad Brown Health Center Family Medicine Current Accepting new patients
Thundermist Health Center Current Accepting new patients
Thundermist Health Center CurrentSince May 4, 2019 Accepting new patients
Planned Parenthood of Southern New England, Inc. CurrentSince Aug 1, 2012 Accepting new patients
Affinity Physicians LLC CurrentSince Jan 1, 2016 Accepting new patients

Locations

345 Whitney Ave
New Haven, CT 06511
Phone (203) 503-0450

111 Brewster St
Bldg 516
Pawtucket, RI 02860

111 Brewster St
Pawtucket, RI 02860
Phone (401) 729-2000

175 Broad St
Providence, RI 02903
Phone (401) 421-9620

285A Chad Brown St
Providence, RI 02908
Phone (401) 274-6339

75 Newman Ave
Ste 100
Rumford, RI 02916

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

186 Providence St
West Warwick, RI 02893
Phone (401) 615-2800

191 Social St
Woonsocket, RI 02895
Phone (401) 597-6500

450 Clinton St
Woonsocket, RI 02895

25 John a Cummings Way
Ste 302
Woonsocket, RI 02895

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCBEAA

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1285746925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BREWSTER STREET",
            "address_2": "WOOD BLDG #516",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-729-3481",
            "fax_number": "401-729-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BREWSTER STREET",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-729-2206",
            "fax_number": "401-729-3495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 Whitney Ave",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065112348",
            "country_code": "US",
            "telephone_number": "203-503-0450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Broad St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034026",
            "country_code": "US",
            "telephone_number": "401-421-9620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELRAYESS",
        "first_name": "FADYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD10082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "001820702",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "900451",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7007208",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.