Marcel Abel Bavoux, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

00414 Issued in RI

Practice address

1239 Hartford Ave Ste 3B
Johnston, RI 02919-7137

Phone

(401) 209-1760

Fax

(401) 209-1761

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI, CT2 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

Specialty

Internal Medicine

Education

University of New England, College of Osteo Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mdri LLCGroup PAC ID 6406291632, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Our Lady of Fatima Hospital Hospital, North Providence, RI, CCN 410005
• The Miriam Hospital Hospital, Providence, RI, CCN 410012

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marcel.bavoux.1@29391.direct.athenahealth.com

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.

• Mdri LLC

  • Primary Care Clinic/Center
  • East Greenwich, RI
  • NPI 1922887157
  Medicare reassignment Care Compare group NPD
• Medicine and Long Term Care Associates, LLC

  • Internal Medicine Physician
  • Cranston, RI
  • NPI 1073539227
  Medicare reassignment NPD
• Mdri LLC

  • Urgent Care Clinic/Center
  • Johnston, RI
  • NPI 1801680004
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prospect Chartercare Sjhsri, LLC

  • General Acute Care Hospital
  • North Providence, RI
  • NPI 1871918870
  Care Compare affiliation
• The Miriam Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1487649430
  Care Compare affiliation

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1508990557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 HARTFORD AVE STE 3B",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029197137",
            "telephone_number": "401-209-1760",
            "fax_number": "401-209-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 HARTFORD AVE STE 3B",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029197137",
            "telephone_number": "401-209-1760",
            "fax_number": "401-209-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAVOUX",
        "first_name": "MARCEL",
        "middle_name": "ABEL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "00414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7005110",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina M Bartley
• Leah Bates
• Michael A Battey, DPM
• Holly Batura, LICSW
• Gianna Ryan Bautista, B.A., CPD
• Jeanne Bazelak, LICSW
• John McKenzie Bean, MA,LMHC
• Melissa Beattie, LCSW
• Arlene Beckles
• Tara Behan

• Internal Medicine Physician in Johnston, RI
• Providers in Johnston, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.
• 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.

Verify at the official NPI Registry.