Individual provider Active NPI

Gyan Pareek, MD

  • Urology Physician
  • Providence, RI
National Provider Identifier
1376654350
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD11734 Issued in RI
Practice address
195 Collyer St
Suite 201
Providence, RI 02904-1869
Phone
(401) 272-7799
Fax
(401) 453-9078
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD11734 RI Primary

Addresses

Primary practice location

195 Collyer St
Suite 201
Providence, RI 02904-1869

Mailing address

195 Collyer St
Suite 201
Providence, RI 02904-1869
Phone (401) 276-2002

Other identifiers 2

IdentifierTypeStateIssuer
29572OtherRIBLUE SHIELD
9004100MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050520000048 RI Practitioner - Urology 9436125028 Reassigns benefits to 3 organizations
I20220301000064 MA Practitioner - Urology 9436125028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1998
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
The Miriam HospitalGroup PAC ID 6901796408, 178 clinicians
Brown Urology, Inc.Group PAC ID 7810254513, 32 clinicians

Practice addresses (Care Compare)

164 Summit Ave
Providence, RI 02906-2853

185 A High Service Ave
North Providence, RI 02904-5114
Phone (401) 354-6050

185 High Service Ave
North Providence, RI 02904-5114
Phone (401) 354-6050

195 Collyer St
Providence, RI 02904-1869

211 Park St
Attleboro, MA 02703-3143
Phone (401) 272-7799

450 Veterans Memorial Pkwy
East Providence, RI 02914-5300

593 Eddy St
Providence, RI 02903-4923

593 Eddy St Apc
Suite 6
Providence, RI 02903-4923
Phone (401) 793-9172

593 Eddy St George BLDG 1St Floor
Providence, RI 02903-4923
Phone (401) 793-9166

Hospital & facility affiliations

  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007
  • Newport Hospital Hospital, Newport, RI, CCN 410006
  • Sturdy Memorial Hospital Hospital, Attleboro, MA, CCN 220008

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD11734RIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Brown Urology, Inc. Urology CurrentSince Nov 24, 2021 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jan 1, 2026 Accepting new patients

Locations

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200

450 Veterans Memorial Pkwy
Ste 14
East Providence, RI 02914
Phone (401) 435-8486

450 Veterans Memorial Pkwy
Unit 14
East Providence, RI 02914
Phone (401) 435-6600

23 Powel Ave
Ste 1
Newport, RI 02840
Phone (401) 228-0631

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

2 Dudley St
Ste 185
Providence, RI 02905
Phone (401) 273-8900

195 Collyer St
Ste 104
Providence, RI 02904
Phone (401) 276-2026

593 Eddy St
Providence, RI 02903

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

195 Collyer St
Ste 201
Providence, RI 02904
Phone (401) 421-0710

164 Summit Ave
Ste Cm
Providence, RI 02906
Phone (401) 793-3158

827 N Main St
Ste 4
Providence, RI 02904
Phone (401) 276-2060

2 Dudley St
Ste 175
Providence, RI 02905
Phone (401) 421-0710

75 Newman Ave
Ste 100
Rumford, RI 02916

Organizations & group practices 4

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1376654350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 COLLYER ST",
            "address_2": "SUITE 201",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041869",
            "telephone_number": "401-276-2002",
            "fax_number": "401-272-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 COLLYER ST",
            "address_2": "SUITE 201",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041869",
            "telephone_number": "401-272-7799",
            "fax_number": "401-453-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAREEK",
        "first_name": "GYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "RI",
            "license": "MD11734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "29572",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9004100",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.