NPIMap

Individual provider Active NPI

Gerald A Colvin, DO

  • Hematology & Oncology Physician
  • Wakefield, RI
National Provider Identifier
1417954199
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
DO00536 Issued in RI
Practice address
100 Kenyon Ave
Wakefield, RI 02879-4216
Phone
(401) 783-6670
Fax
(401) 789-4990
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 262469 NY
Hematology & Oncology Physician 207RH0003X DO00536 RI Primary

Addresses

Primary practice location

100 Kenyon Ave
Wakefield, RI 02879-4216

Mailing address

PO Box 229
Wakefield, RI 02880-0229
Phone (401) 783-6670

Other identifiers 1

IdentifierTypeStateIssuer
GC33721MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050120000977 RI Practitioner - Hematology/OncologyPractitioner - Internal Medicine 3375592959 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Silver Spring Health Care Management IncGroup PAC ID 4688661127, 136 clinicians
Prospect Chartercare RWMC, LLCGroup PAC ID 0547492696, 66 clinicians

Practice addresses (Care Compare)

100 Kenyon Ave
Wakefield, RI 02879-4216
Phone (401) 783-6670

825 Chalkstone Ave
Providence, RI 02908-4728
Phone (401) 456-2000

Hospital & facility affiliations

  • Continuum Care Hospice Hospice, West Warwick, RI, CCN 411512
  • South County Hospital Inc Hospital, Wakefield, RI, CCN 410008
  • Roger Williams Medical Center Hospital, Providence, RI, CCN 410004
  • Our Lady of Fatima Hospital Hospital, North Providence, RI, CCN 410005
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
262469NYMDHematology & Oncology Physician
DO00536RIMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Chartercare RWMC, LLC Hematology & Oncology CurrentSince Dec 8, 2021 Accepting new patients
Prospect Chartercare RWMC, LLC CurrentSince Dec 8, 2021 Accepting new patients
Silver Spring Health Care Management, Inc CurrentSince Oct 1, 2025 Accepting new patients
Chartercare Roger Williams Medical Center Hematology & Oncology CurrentSince Aug 1, 2025 Accepting new patients
Prospect Chartercare Physicians, LLC Hematology & Oncology CurrentSince Jul 15, 2020 Accepting new patients
Silver Spring Health Care Management, Inc Past Accepting new patients

Locations

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

1 Office Pkwy
East Providence, RI 02914
Phone (401) 270-7110

1524 Atwood Ave
Ste 125
Johnston, RI 02919
Phone (401) 331-1113

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

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

50 Maude St
Providence, RI 02908
Phone (401) 456-2200

100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000

Interoperability endpoints

  • Direct secure messaging: gcolvin92371@tuftsmedicine.direct-ci.com
  • Direct secure messaging: gcolvin@direct.health-quest.org

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 6

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1417954199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028800229",
            "telephone_number": "401-783-6670",
            "fax_number": "401-789-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KENYON AVE",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794216",
            "telephone_number": "401-783-6670",
            "fax_number": "401-789-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLVIN",
        "first_name": "GERALD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "262469",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "RI",
            "license": "DO00536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GC33721",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

Verify at the official NPI Registry.