Riyad Amin, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Providence, RI
NPI 1376118463 · NPPES record last updated Jun 4, 2026
Key facts
- NPI
- 1376118463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 593 Eddy St
Providence, RI 02903-4923 - Phone
- (401) 793-2695
- Fax
- (401) 444-4165
- NPI assigned
- May 21, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230711004550 | WV | Order and Referring Only - Neurology |
6709245582 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
593 Eddy St
Providence, RI 02903-4923
Mailing address
593 Eddy St
Providence, RI 02903-4923
Phone (401) 793-2695
Other providers in Providence, RI
- Afshin Ameri
- American Center for Bioregulatory Medicine and Dentistry
- American Current Care PA
- Ali Amin
- Priya Amin
- Rabia Amir
- Maire Amlicke
- Kali Amoah
- Matthew R Amore
- Amos House
All providers in Providence, RI · Student in an Organized Health Care Education/Training Program in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.