Organization Active NPI

Professional Internal Medicine Associates Inc

  • Internal Medicine Physician
  • Pawtucket, RI
National Provider Identifier
1376761544
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PROFESSIONAL INTERNAL MEDICINE ASSOCIATES INC
Practice address
139 Benefit St
Pawtucket, RI 02861-1024
Phone
(401) 475-0002
Fax
(401) 475-5111
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Dr. Levis Guzman, MD
Title
Physician
Phone
(401) 444-0530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

139 Benefit St
Pawtucket, RI 02861-1024

Mailing address

1 Warren Way
Providence, RI 02905-5000
Phone (401) 444-0530

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1376761544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WARREN WAY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029055000",
            "telephone_number": "401-444-0530",
            "fax_number": "401-444-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 BENEFIT ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028611024",
            "telephone_number": "401-475-0002",
            "fax_number": "401-475-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL INTERNAL MEDICINE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "LEVIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "401-444-0530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.