Excelcare Inc – Internal Medicine Physician

Key facts

NPI: 1609668649
Entity type: Organization (NPI type 2)
Primary specialty: Internal Medicine Physician 207R00000X
Legal business name: EXCELCARE INC
Practice address: 6 Blackstone Valley PL Ste 301
Lincoln, RI 02865-1112
Phone: (401) 405-1822
NPI assigned: May 17, 2025
Organization subpart: No

Authorized official

Name: Alex Etienne, MD NPI 1447221866
Title: Owner
Phone: (401) 952-5549

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Alex Etienne, MD Addiction Medicine (Internal Medicine) Physician · Providence, RI · NPI 1447221866

Medicare reassignment NPD Authorized official INTERNAL MEDICINE · RI
Souad Cheteyan, APRN, BSN, M.ED, MSN Family Nurse Practitioner · North Providence, RI · NPI 1558755082

Medicare reassignment RI
Eucharia U Ibeh Family Nurse Practitioner · North Providence, RI · NPI 1194326991

Medicare reassignment RI

Medicare participation

Medicare fee-for-service enrollment: Enrolled in RI

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20260407000012	RI	Part B Supplier - Clinic/Group Practice	1254806326	Receives reassigned benefits from 3 practitioners Practice locations: Lincoln, RI

National Provider Directory

Locations

6 Blackstone Valley Pl
Ste 301
Lincoln, RI 02865
Phone (401) 305-3028

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Internal Medicine Physician Group: 193200000X MULTI-SPECIALTY GROUP	207R00000X			Yes

Addresses

Primary practice location

6 Blackstone Valley PL Ste 301
Lincoln, RI 02865-1112

Mailing address

6 Blackstone Valley PL Ste 301
Lincoln, RI 02865-1112
Phone (401) 405-1822

Other providers in Lincoln, RI

All providers in Lincoln, RI · Internal Medicine Physician in Rhode Island

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.