Individual provider Active NPI

Carole Alice Lengyel, M.D.

  • Pediatrics Physician
  • Warwick, RI
National Provider Identifier
1568441699
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD11263 Issued in RI
Practice address
300 Centerville Rd
The Summit East, Suite 110
Warwick, RI 02886-0200
Phone
(401) 615-2299
Fax
(401) 615-7529
NPI assigned
Jan 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD11263 RI Primary

Addresses

Primary practice location

300 Centerville Rd
The Summit East, Suite 110
Warwick, RI 02886-0200

Mailing address

10 Davol SQ
Suite 400
Providence, RI 02903-4754
Phone (401) 421-4000

Other identifiers 2

IdentifierTypeStateIssuer
7056673MedicaidRI
3790035781OtherMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clengyel220821@direct.lifespan.org

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
I20040914000010 RI Practitioner - Pediatric Medicine 2163499740 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical Physicians, Inc. Pediatrics CurrentSince Apr 25, 2021 Accepting new patients
Coastal Medical Physicians, Inc. CurrentSince Apr 25, 2021 Accepting new patients
Lifespan Corporation Current Accepting new patients
Coastal Medical, Inc. Past Accepting new patients
Bald Hill Pediatrics Pediatrics Past Accepting new patients

Locations

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

300 Centerville Rd
Ste 110
Warwick, RI 02886
Phone (401) 615-2299

176 Toll Gate Rd
Ste 101
Warwick, RI 02886
Phone (401) 737-9240

300 Centerville Rd
Warwick, RI 02886
Phone (401) 615-2299

400 Bald Hill Rd
Ste 520
Warwick, RI 02886
Phone (401) 793-8520

400 Bald Hill Rd
Ste 501
Warwick, RI 02886
Phone (401) 732-5437

Interoperability endpoints

  • Direct secure messaging: clengyel220821@brownhealth.medalliesdirect.net

Organizations & group practices 5

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1568441699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DAVOL SQ",
            "address_2": "SUITE 400",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034754",
            "telephone_number": "401-421-4000",
            "fax_number": "401-272-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CENTERVILLE RD",
            "address_2": "THE SUMMIT EAST, SUITE 110",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028860200",
            "telephone_number": "401-615-2299",
            "fax_number": "401-615-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENGYEL",
        "first_name": "CAROLE",
        "middle_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD11263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7056673",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "3790035781",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clengyel220821@direct.lifespan.org",
            "affiliation": "N",
            "address_1": "300 Centerville Rd",
            "address_2": "The Summit East, Suite 110",
            "city": "Warwick",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028860200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.