NPIMap

Individual provider Active NPI

Elham Mohammadirad, MD

  • Internal Medicine Physician
  • E Providence, RI
National Provider Identifier
1619491073
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD17124 Issued in RI
Practice address
1 Office Pkwy
E Providence, RI 02914-1643
Phone
(401) 435-3325
NPI assigned
Jul 27, 2017
Last updated
Jul 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD17124 RI Primary

Addresses

Primary practice location

1 Office Pkwy
E Providence, RI 02914-1643

Mailing address

1 Office Pkwy
E Providence, RI 02914-1643
Phone (401) 435-3325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200810001704 RI Practitioner - Internal Medicine 5294150173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prospect Chartercare Physicians LLCGroup PAC ID 0840416657, 71 clinicians

Practice addresses (Care Compare)

1 Office Pkwy
East Providence, RI 02914-1643
Phone (401) 431-9219

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chartercare Physicians, LLC Internal Medicine CurrentSince May 28, 2025 Accepting new patients
Prospect Chartercare Physicians, LLC Internal Medicine CurrentSince Jul 24, 2020 Accepting new patients

Locations

1681 Cranston St
Cranston, RI 02920
Phone (401) 944-6889

1 Office Pkwy
East Providence, RI 02914
Phone (401) 270-7110

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

501 Wampanoag Trl
Ste 102
Riverside, RI 02915

501 Wampanoag Trl
Unit 102
Riverside, RI 02915
Phone (401) 435-3325

501 Wampanoag Trl
Unit 2
Riverside, RI 02915
Phone (401) 435-3327

Interoperability endpoints

  • Direct secure messaging: elham.mohammadirad.1@9000.direct.athenahealth.com

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1619491073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OFFICE PKWY",
            "city": "E PROVIDENCE",
            "state": "RI",
            "postal_code": "029141643",
            "telephone_number": "401-435-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OFFICE PKWY",
            "city": "E PROVIDENCE",
            "state": "RI",
            "postal_code": "029141643",
            "telephone_number": "401-435-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMADIRAD",
        "first_name": "ELHAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD17124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in E Providence, RI

Sources for this page

Verify at the official NPI Registry.