Active NPI
Timothy Douglas Winn, MD
- Pediatrics Physician
- Providence, RI
National Provider Identifier
1538806195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD21305
- Practice address
- 593 Eddy St
Inpatient Hospital Medicine
Providence, RI 02903-4923 - Phone
- (401) 444-7396
- NPI assigned
- May 16, 2022
- Last updated
- Jul 16, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD21305 | RI | Primary |
Addresses
Primary practice location
593 Eddy St
Inpatient Hospital Medicine
Providence, RI 02903-4923
Mailing address
15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 444-6779
Other practice location 1
101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1122
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260518003681 | RI | Practitioner - Pediatric Medicine | 6002295656 |
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Massachusetts Medical School, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
15 La Salle SQ
Providence, RI 02903-1814
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD21305 | RI | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1538806195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 LA SALLE SQ",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029031814",
"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",
"address_2": "INPATIENT HOSPITAL MEDICINE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923",
"telephone_number": "401-444-7396"
}
],
"practiceLocations": [
{
"address_1": "101 Dudley St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029052401",
"country_code": "US",
"telephone_number": "401-274-1122",
"fax_number": "401-453-7571",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WINN",
"first_name": "TIMOTHY",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-16",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "RI",
"license": "MD21305",
"primary": true
}
],
"identifiers": [],
"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 Jul 16, 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.