Active NPI
Nina Ji, MD
- Anesthesiology Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD11627
- Practice address
- 825 Chalkstone Ave
Providence, RI 02908-4728 - Phone
- (401) 456-2125
- Fax
- (401) 456-2049
- NPI assigned
- Feb 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD11627 | RI | Primary |
| Anesthesiology Physician | 207L00000X | 25MA07834200 | NJ |
Addresses
Primary practice location
825 Chalkstone Ave
Providence, RI 02908-4728
Mailing address
PO Box 6064
Providence, RI 02904
Phone (401) 456-2125
Other practice location 1
101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1122
200 High Service Ave
North Providence, RI 02904-5113
Phone (401) 456-3000
25 Wells St
Westerly, RI 02891-2922
Phone (401) 596-6000
Hospital & facility affiliations
- South County Hospital Inc
- Westerly Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiologists of Middletown, P.C. | Anesthesiology | Current | Accepting new patients |
| Northeast Medical Group, Inc. | Current | Accepting new patients | |
| MVP Anesthesia Associates, PC | Anesthesiology | Current | Accepting new patients |
| Affinity Physicians LLC. | Anesthesiology | Current | Accepting new patients |
| Narragansett Bay Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| Anesthetics of New Hampshire, PC | Anesthesiology | Past | Accepting new patients |
| Keystone Group, LLC | Anesthesiology | Past | Accepting new patients |
| Anesthetics of Lowell, PC | Anesthesiology | Past | Accepting new patients |
| American Anesthesiology of New Jersey, P.C. | Anesthesiology | Past | Accepting new patients |
Locations
145 S Main St
Middletown, CT 06457
Phone (860) 346-5889
410 Saybrook Rd
Middletown, CT 06457
Phone (615) 686-2262
28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000
140 Cross Rd
Waterford, CT 06385
Phone (860) 701-0140
6 Blackstone Valley Pl
Ste 201
Lincoln, RI 02865
Phone (401) 335-4515
200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000
825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
101 Dudley St
Providence, RI 02905
Phone (401) 453-7950
100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
45 East Ave
Westerly, RI 02891
Phone (401) 596-6000
25 Wells St
Westerly, RI 02891
Phone (401) 348-3325
115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701
115 Cass Ave
Ste A
Woonsocket, RI 02895
Phone (401) 333-6100
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/430a7ff7-9999-4cda-a19f-fb8b573704c8/
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Warwick, RI
- NPI 1861445728
-
- Anesthesiology Physician
- Middletown, CT
- NPI 1851317135
-
- Anesthesiology Physician
- Florham Park, NJ
- NPI 1386654036
-
- Anesthesiology Physician
- Lowell, MA
- NPI 1609822212
-
- Certified Registered Nurse Anesthetist
- Derry, NH
- NPI 1750332466
Anesthesiology
-
- Anesthesiology Physician
- Florham Park, NJ
- NPI 1215179627
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Westerly, RI
- NPI 1447595368
-
- General Acute Care Hospital
- Wakefield, RI
- NPI 1952366106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1427023977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6064",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02904",
"telephone_number": "401-456-2125",
"fax_number": "401-456-2049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 CHALKSTONE AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029084728",
"telephone_number": "401-456-2125",
"fax_number": "401-456-2049"
}
],
"practiceLocations": [
{
"address_1": "101 Dudley St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029052401",
"country_code": "US",
"telephone_number": "401-274-1122",
"fax_number": "401-459-0100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JI",
"first_name": "NINA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-20",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "RI",
"license": "MD11627",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA07834200",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.