Individual provider Active NPI

Melissa McHugh, MD

  • Pediatrics Physician
  • South Kingstown, RI
National Provider Identifier
1467654152
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD20800 Issued in RI
Practice address
65 Village Square Dr
South Kingstown, RI 02879-2568
Phone
(401) 789-5924
Fax
(401) 782-1770
NPI assigned
Jun 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD20800 RI Primary
Pediatrics Physician 208000000X 48677 CO

Addresses

Primary practice location

65 Village Square Dr
South Kingstown, RI 02879-2568

Mailing address

10 Davol SQ Ste 300
Providence, RI 02903-4754
Phone (401) 444-6779

Other practice location 1

8030 Lee Dr
Arvada, CO 80005-2078
Phone (303) 421-6873

Other identifiers 1

IdentifierTypeStateIssuer
05050774MedicaidCO

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
I20250908001429 RI Practitioner - Pediatric Medicine 1850584319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Baylor College of Medicine, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10 Davol SQ
Suite 400
Providence, RI 02903-4759

117 Ellenfield St
Suite 101
Providence, RI 02905-4541

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48677COMDPediatrics Physician
MD20800RIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical Physicians, Inc. Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Coastal Medical Physicians, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Coastal Medical, Inc. Past Accepting new patients
Arvada Pediatric Associates, PC Pediatrics Past Accepting new patients

Locations

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

10 Davol Sq
Ste 300
Providence, RI 02903

65 Village Square Dr
Ste 201
South Kingstown, RI 02879
Phone (401) 515-7979

65 Village Square Dr
South Kingstown, RI 02879
Phone (401) 738-4323

65 Village Square Dr
Ste 101
Wakefield, RI 02879
Phone (401) 789-5924

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1467654152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DAVOL SQ STE 300",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034754",
            "telephone_number": "401-444-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 VILLAGE SQUARE DR",
            "city": "SOUTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028792568",
            "telephone_number": "401-789-5924",
            "fax_number": "401-782-1770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8030 Lee Dr",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800052078",
            "country_code": "US",
            "telephone_number": "303-421-6873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCHUGH",
        "first_name": "MELISSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD20800",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "48677",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05050774",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Kingstown, RI

Sources for this page

Verify at the official NPI Registry.