Individual provider Active NPI

Nina Ji, MD

  • Anesthesiology Physician
  • Providence, RI
National Provider Identifier
1427023977
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD11627 Issued in RI
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

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, CT2 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
I20071003000234 RI Practitioner - Anesthesiology 0749223782 Reassigns benefits to 4 organizations
I20230327001773 CT Practitioner - Anesthesiology 0749223782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians
Narragansett Bay Anesthesia LLCGroup PAC ID 5991774929, 95 clinicians
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

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 Hospital, Wakefield, RI, CCN 410008
  • Westerly Hospital Hospital, Westerly, RI, CCN 410013

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiologists of Middletown, P.C. Anesthesiology CurrentSince Feb 14, 2023 Accepting new patients
Northeast Medical Group, Inc. CurrentSince Mar 11, 2024 Accepting new patients
MVP Anesthesia Associates, PC Anesthesiology CurrentSince Jan 25, 2025 Accepting new patients
Affinity Physicians LLC. Anesthesiology CurrentSince Mar 20, 2023 Accepting new patients
Narragansett Bay Anesthesia, LLC Anesthesiology CurrentSince Mar 1, 2016 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 PastSince Jan 31, 2021 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

  • FHIR API: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.