Individual provider Active NPI

Monika Tedeschi

  • Urology Physician
  • Johnston, RI
National Provider Identifier
1407344823
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
CMD19187 Issued in RI
Practice address
1524 Atwood Ave Ste LL6
Johnston, RI 02919-3228
Phone
(401) 331-7400
NPI assigned
May 1, 2018
Last updated
Mar 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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 CMD19187 RI Primary

Addresses

Primary practice location

1524 Atwood Ave Ste LL6
Johnston, RI 02919-3228

Mailing address

825 Fairfax Ave Ste 610
Norfolk, VA 23507-1912
Phone (757) 446-8950

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
I20230712003437 RI Practitioner - Urology 1759630338 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Eastern Virginia Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prospect Chartercare Physicians LLCGroup PAC ID 0840416657, 71 clinicians

Practice addresses (Care Compare)

1524 Atwood Ave
Suite 44
Johnston, RI 02919-3228
Phone (401) 272-9880

Hospital & facility affiliations

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
CMD19187RIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chartercare Physicians, LLC Urology CurrentSince May 28, 2025 Accepting new patients
Prospect Chartercare Physicians, LLC Urology CurrentSince Jul 28, 2023 Accepting new patients
Evms Academic Physicians and Surgeons Health Services Foundation Past Accepting new patients

Locations

1681 Cranston St
Cranston, RI 02920
Phone (401) 944-6889

1524 Atwood Ave
Ste 44
Johnston, RI 02919
Phone (401) 272-9880

1524 Atwood Ave
Ste LL6
Johnston, RI 02919
Phone (401) 331-7400

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

501 Wampanoag Trl
Unit 2
Riverside, RI 02915
Phone (401) 435-3327

41 Sanderson Rd
Ste 202
Smithfield, RI 02917
Phone (401) 231-3138

41 Sanderson Rd
Ste 207
Smithfield, RI 02917
Phone (401) 521-6310

Interoperability endpoints

  • Direct secure messaging: monika.tedeschi.1@9000.direct.athenahealth.com

Organizations & group practices 3

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": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1407344823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 FAIRFAX AVE STE 610",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071912",
            "telephone_number": "757-446-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE STE LL6",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-331-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDESCHI",
        "first_name": "MONIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "RI",
            "license": "CMD19187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

Verify at the official NPI Registry.