Individual provider Active NPI

Ravi Nadimpalli, M.D.

  • Gastroenterology Physician
  • Portsmouth, RI
National Provider Identifier
1306043021
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD15187 Issued in RI
Practice address
110 Clock Tower SQ Ste 100
Portsmouth, RI 02871-1396
Phone
(401) 293-5600
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD15187 RI Primary

Addresses

Primary practice location

110 Clock Tower SQ Ste 100
Portsmouth, RI 02871-1396

Mailing address

PO Box 202230
Dallas, TX 75320-2230
Phone (401) 421-8800

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
I20160127001161 RI Practitioner - Gastroenterology 7810932241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Michigan State University College of Human Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Gastroenterology, LLCGroup PAC ID 3678762804, 99 clinicians

Practice addresses (Care Compare)

110 Clock Tower SQ
FL 2
Portsmouth, RI 02871-1396
Phone (401) 293-5600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
62.49 of 100Reported as individual
Quality
38
Promoting interoperability
93
Improvement activities
40
Cost
42.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy122
Upper gastrointestinal (GI) endoscopy for acid reflux168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L946169MIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Gastroenterology, LLC Gastroenterology CurrentSince Jan 1, 2016 Accepting new patients
Joseph D. Pianka, MD, Inc. Gastroenterology PastSince Jan 1, 2016 Accepting new patients

Locations

110 Clock Tower Sq
Ste 100
Portsmouth, RI 02871
Phone (401) 293-5600

110 Clock Tower Sq
Fl 2
Portsmouth, RI 02871
Phone (401) 293-5600

33 Staniford St
Providence, RI 02905
Phone (401) 274-1810

Organizations & group practices 2

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 7

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1306043021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 202230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753202230",
            "telephone_number": "401-421-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CLOCK TOWER SQ STE 100",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028711396",
            "telephone_number": "401-293-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADIMPALLI",
        "first_name": "RAVI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "RI",
            "license": "MD15187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, RI

Sources for this page

Verify at the official NPI Registry.