Active NPI
Jiti M. Uppugunduri, DO
- Family Medicine Physician
- Providence, RI
National Provider Identifier
1427707835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO01472
- Practice address
- 355 Prairie Ave
Providence, RI 02905-1928 - Phone
- (401) 444-0570
- Fax
- (401) 444-0427
- NPI assigned
- Mar 22, 2022
- Last updated
- Jul 3, 2026
- 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 |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 1028343 | MA | |
| Family Medicine Physician | 207Q00000X | DO01472 | RI | Primary |
Addresses
Primary practice location
355 Prairie Ave
Providence, RI 02905-1928
Mailing address
375 Allens Ave
Providence, RI 02905-5010
Phone (401) 780-2511
Other practice location 1
34 Gifford St
New Bedford, MA 02744-2610
Phone (774) 206-9939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO01472 | RI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Physicians LLC. | Family Medicine | Current | Accepting new patients |
Locations
593 Eddy St
Providence, RI 02903
593 Eddy St
Bldg 1
Providence, RI 02903
Interoperability endpoints
- juppugunduri@direct.carene.org
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783036800000",
"number": "1427707835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 ALLENS AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029055010",
"telephone_number": "401-780-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 PRAIRIE AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029051928",
"telephone_number": "401-444-0570",
"fax_number": "401-444-0427"
}
],
"practiceLocations": [
{
"address_1": "34 Gifford St",
"address_purpose": "LOCATION",
"city": "New Bedford",
"state": "MA",
"postal_code": "027442610",
"country_code": "US",
"telephone_number": "774-206-9939",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UPPUGUNDURI",
"first_name": "JITI",
"middle_name": "M.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-22",
"last_updated": "2026-07-03",
"certification_date": "2026-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "MA",
"license": "1028343",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "RI",
"license": "DO01472",
"primary": true
}
],
"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 Jul 3, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.