Chad Peter Nevola, M.D., F.A.A.P.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD10281 Issued in RI

Practice address

120 Dudley St Ste 105
Providence, RI 02905-2431

Phone

(401) 273-9555

Fax

(401) 861-4943

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cnevola@direct.carene.org

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.

• Chad P. Nevola, MD, Inc.

  • Pediatrics Physician
  • Providence, RI
  • NPI 1770689002

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1487723458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 DUDLEY ST STE 105",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052431",
            "telephone_number": "401-273-9555",
            "fax_number": "401-861-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DUDLEY ST STE 105",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052431",
            "telephone_number": "401-273-9555",
            "fax_number": "401-861-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVOLA",
        "first_name": "CHAD",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.A.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD10281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH OF RI",
            "identifier": "2642815",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CN32566",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD RI",
            "identifier": "31505-8",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHPRI",
            "identifier": "3815",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP OF RI",
            "identifier": "407401",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "478834",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH PLAN OF RI",
            "identifier": "710058301",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH PLAN OF RI",
            "identifier": "1984965",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cnevola@direct.carene.org",
            "affiliation": "N",
            "endpointDescription": "Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "120 Dudley St Ste 105",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029052431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Neurosurgery Foundation, Inc.
• Neurosurgical Care, LLC
• Kerby Neuvieme
• Davina Neves, MA
• Christine Ann Nevins-Herbert, MD
• New England Chiropractic Center, LLC
• New England Dental
• New England Telemedicine LLC
• New England Transport
• New England Wellness Collaborative

• All providers in Providence, RI
• Pediatrics Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.