Active NPI
David Gellis, M.D.
- Internal Medicine Physician
- East Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD20035
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74959 | GA | MD | Internal Medicine Physician |
| 21872 | NH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iora Health Massachusetts, P.C. | Internal Medicine | Current | Accepting new patients |
| VMD Primary Providers of Rhode Island PC | Internal Medicine | Current | 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
- 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.
-
- Family Medicine Physician
- Cumberland, RI
- NPI 1598341067
Internal Medicine
-
- Internal Medicine Physician
- Hyannis, MA
- NPI 1851858666
-
- Internal Medicine Physician
- Hanover, NH
- NPI 1700285616
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.