Individual provider Active NPI

Jennifer McInnes Ritzau, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Providence, RI
National Provider Identifier
1508863432
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
MD11338 Issued in RI
Practice address
825 Chalkstone Ave
Providence, RI 02908-4728
Phone
(401) 621-6464
Fax
(401) 751-3985
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 272741 MA
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD11338 RI Primary

Addresses

Primary practice location

825 Chalkstone Ave
Providence, RI 02908-4728

Mailing address

825 Chalkstone Ave
Providence, RI 02908-4728
Phone (401) 621-6464

Other practice location 1

1085 N Main St
Providence, RI 02904-5719
Phone (401) 415-4618

Other practice location 2

1324 Belmont St Ste 202
Brockton, MA 02301-4435
Phone (401) 415-4618

Other identifiers 1

IdentifierTypeStateIssuer
7050186MedicaidRI

Other names 1

  • Jennifer Blois McInnes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 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
I20040216000453 RI Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 0941195499 Reassigns benefits to 1 organization
I20180530002863 MA Practitioner - Hospice/Palliative CarePractitioner - Geriatric Medicine 0941195499 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD11338RIMDGeriatric Medicine (Family Medicine) Physician
272741MAMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hopehealth Hospice & Palliative Care Geriatric Medicine Current Accepting new patients
Hopehealth Hospice & Palliative Care CurrentSince Oct 28, 2012 Accepting new patients

Locations

10 Emory St
Attleboro, MA 02703
Phone (401) 415-4618

1324 Belmont St
Ste 202
Brockton, MA 02301
Phone (401) 415-4618

1085 N Main St
Providence, RI 02904
Phone (401) 415-4200

Interoperability endpoints

  • Direct secure messaging: jenniferritzau@hopehealth.netsmartdirect.net

Organizations & group practices 3

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1508863432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CHALKSTONE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084728",
            "telephone_number": "401-621-6464",
            "fax_number": "401-751-3985"
        },
        {
            "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": "401-621-6464",
            "fax_number": "401-751-3985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1085 N Main St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029045719",
            "country_code": "US",
            "telephone_number": "401-415-4618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1324 Belmont St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023014435",
            "country_code": "US",
            "telephone_number": "401-415-4618",
            "fax_number": "401-415-4348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RITZAU",
        "first_name": "JENNIFER",
        "middle_name": "MCINNES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MA",
            "license": "272741",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "RI",
            "license": "MD11338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7050186",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MCINNES",
            "middle_name": "BLOIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.