Individual provider Active NPI

David Gellis, M.D.

  • Internal Medicine Physician
  • East Providence, RI
National Provider Identifier
1548580368
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD20035 Issued in RI
Practice address
450 Veterans Memorial Pkwy # 15B
East Providence, RI 02914-5300
Phone
(401) 434-3350
Fax
(401) 434-5230
NPI assigned
Jun 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 54527 AZ
Internal Medicine Physician 207R00000X 21872 NH
Internal Medicine Physician 207R00000X MD60749731 WA
Internal Medicine Physician 207R00000X DR.0056950 CO
Internal Medicine Physician 207R00000X 74959 GA
Internal Medicine Physician 207R00000X 270640 MA
Internal Medicine Physician 207R00000X MD20035 RI Primary

Addresses

Primary practice location

450 Veterans Memorial Pkwy # 15B
East Providence, RI 02914-5300

Mailing address

106 Nate Whipple Hwy Ste 101
Cumberland, RI 02864-1403
Phone (401) 658-2020

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241122000186 RI Practitioner - Internal Medicine 2163795287 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74959GAMDInternal Medicine Physician
21872NHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iora Health Massachusetts, P.C. Internal Medicine CurrentSince Oct 12, 2025 Accepting new patients
VMD Primary Providers of Rhode Island PC Internal Medicine CurrentSince Sep 15, 2024 Accepting new patients
Iora Health, LLC Internal Medicine Past Accepting new patients

Locations

101 Tremont St
Fl 6
Boston, MA 02108

1070 Route 132
Hyannis, MA 02601
Phone (508) 771-9701

1070 Iyannough Rd
Ste I10
Hyannis, MA 02601
Phone (508) 948-3400

106 Nate Whipple Hwy
Ste 101
Cumberland, RI 02864
Phone (401) 658-1197

450 Veterans Memorial Pkwy
Ste 15B
East Providence, RI 02914
Phone (401) 434-3350

450 Veterans Memorial Pkwy
#15B
East Providence, RI 02914
Phone (401) 434-3350

Interoperability endpoints

  • Direct secure messaging: david.gellis.1@31278.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1548580368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 NATE WHIPPLE HWY STE 101",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028641403",
            "telephone_number": "401-658-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 VETERANS MEMORIAL PKWY # 15B",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029145300",
            "telephone_number": "401-434-3350",
            "fax_number": "401-434-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLIS",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-03",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "54527",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "21872",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60749731",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0056950",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "74959",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "270640",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD20035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

Verify at the official NPI Registry.