Matthew Alam
Individual provider Active NPI Emergency Medicine Physician · Warwick, RI
NPI 1609718170 · NPPES record last updated Jun 26, 2026
Key facts
- NPI
- 1609718170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- LP06939 (RI)
- Practice address
- 455 Toll Gate Rd
Warwick, RI 02886-2770 - Phone
- (401) 737-7010
- NPI assigned
- Apr 6, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260611001717 | RI | Order and Referring Only - Emergency Medicine |
9739651639 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | LP06939 | RI | Yes |
Addresses
Primary practice location
455 Toll Gate Rd
Warwick, RI 02886-2770
Mailing address
455 Toll Gate Rd
Warwick, RI 02886-2770
Other providers in Warwick, RI
- Ajf at Your Service Inc.
- Adetutu Ajibose
- Farhad Akhtari
- Adebunmi Akinkuotu
- Hadeel Haitham Isam Al-Rawi
- Anthony J Alario
- Alyssa Jailee Alba
- Elizabeth Albro
- Alexander Scagnelli, M.D.,P.C.
- Vincent Alexandre
All providers in Warwick, RI · Emergency 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 Jun 26, 2026. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.