Active NPI
Rafael E Padilla, MD
- Anesthesiology Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD10465
- Practice address
- 593 Eddy St
Providence, RI 02903 - Phone
- (401) 444-5172
- Fax
- (401) 444-5090
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD10465 | RI | Primary |
Addresses
Primary practice location
593 Eddy St
Providence, RI 02903
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4513
Phone (401) 444-6779
Other practice location 1
111 Brewster St
Department of Anesthesia
Pawtucket, RI 02860-4400
Phone (401) 726-7300
Other practice location 2
101 Dudley St
Providence, RI 02905-2401
Phone (401) 453-7950
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 407129 | Other | RI | BLUE CHIP |
| 010465 | Other | MA | TUFTS HEALTHPLAN |
| RP33653 | Medicaid | RI | |
| 3096599 | Other | MA | MEDICAID |
| 2378 | Other | RI | NEIGHBORHOOD HEALTH PLANS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Warren Alpert Medical School of Brown University, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-6966
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD10465 | RI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Corporation | Current | Accepting new patients |
Interoperability endpoints
- rpadilla164766@brownhealth.medalliesdirect.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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Providence, RI
- NPI 1053782466
-
- Internal Medicine Physician
- Warwick, RI
- NPI 1184944662
-
- Children's Rehabilitation Hospital
- Providence, RI
- NPI 1790221232
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport, RI
- NPI 1457346413
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1508975194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 ELLENFIELD ST STE 101",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054513",
"telephone_number": "401-444-6779",
"fax_number": "401-444-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 EDDY ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02903",
"telephone_number": "401-444-5172",
"fax_number": "401-444-5090"
}
],
"practiceLocations": [
{
"address_1": "111 Brewster St",
"address_2": "Department of Anesthesia",
"address_purpose": "LOCATION",
"city": "Pawtucket",
"state": "RI",
"postal_code": "028604400",
"country_code": "US",
"telephone_number": "401-726-7300",
"fax_number": "401-726-7330",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Dudley St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029052401",
"country_code": "US",
"telephone_number": "401-453-7950",
"fax_number": "401-453-7658",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PADILLA",
"first_name": "RAFAEL",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "RI",
"license": "MD10465",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "407129",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTHPLAN",
"identifier": "010465",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RP33653",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "3096599",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLANS",
"identifier": "2378",
"state": "RI"
}
],
"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 Feb 23, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.