Active NPI
Jeffrey Nadelson, M.D.
- Gastroenterology Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD16090
- Practice address
- 33 Staniford St FL 1
Providence, RI 02905 - Phone
- (978) 289-0745
- NPI assigned
- Jun 22, 2011
- Last updated
- Aug 8, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD16090 | RI | |
| Internal Medicine Physician | 207R00000X | LP02295 | RI | |
| Internal Medicine Physician | 207R00000X | 261952 | MA | |
| Gastroenterology Physician | 207RG0100X | MD16090 | RI | Primary |
Addresses
Primary practice location
33 Staniford St FL 1
Providence, RI 02905
Mailing address
33 Staniford St FL 1
Providence, RI 02905-3100
Phone (978) 289-0745
Other practice location 1
956 Court Ave Ste H314
Memphis, TN 38103-2814
Phone (978) 289-0745
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
33 Staniford St
Providence, RI 02905-3105
Phone (401) 421-8800
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 74 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 111 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 261952 | MA | MD | Internal Medicine Physician |
| LP02295 | RI | MD | Internal Medicine Physician |
| MD16090 | RI | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Physicians LLC. | Internal Medicine | Current | Accepting new patients |
| University Gastroenterology, LLC | Gastroenterology | Current | Accepting new patients |
Locations
33 Staniford St
Providence, RI 02905
Phone (401) 274-1810
33 Staniford St
#1
Providence, RI 02905
Phone (401) 649-4229
33 Staniford St
#2
Providence, RI 02905
Interoperability endpoints
- jnadelson@direct.carene.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Providence, RI
- NPI 1386952612
-
- Internal Medicine Physician
- Warwick, RI
- NPI 1184944662
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533686400000",
"number": "1619263399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 STANIFORD ST FL 1",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029053100",
"telephone_number": "978-289-0745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 STANIFORD ST FL 1",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02905",
"telephone_number": "978-289-0745"
}
],
"practiceLocations": [
{
"address_1": "956 Court Ave Ste H314",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381032814",
"country_code": "US",
"telephone_number": "978-289-0745",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NADELSON",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-22",
"last_updated": "2018-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD16090",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "LP02295",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "261952",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "RI",
"license": "MD16090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.