Individual provider Active NPI

Melissa Tabatchnick, PA-C

  • Physician Assistant
  • Warwick, RI
National Provider Identifier
1629503511
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
120 Centerville Rd
Warwick, RI 02886-4336
Phone
(401) 738-3730
Fax
(401) 738-3777
NPI assigned
Apr 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

120 Centerville Rd
Warwick, RI 02886-4336

Mailing address

120 Centerville Rd
Warwick, RI 02886-4336
Phone (401) 738-3730

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170719000215 RI Practitioner - Physician Assistant 9638449093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedics Rhode Island IncGroup PAC ID 7012225907, 123 clinicians

Practice addresses (Care Compare)

285 Promenade St
Providence, RI 02908-5794
Phone (401) 777-7000

300 Crossings Blvd
Warwick, RI 02886-2878
Phone (401) 777-7000

900 Warren Ave
Suite 202
East Providence, RI 02914-1430
Phone (401) 777-7000

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedics Rhode Island, Inc Physician Assistant CurrentSince Jun 10, 2017 Accepting new patients
Orthopedics Rhode Island, Inc CurrentSince Jun 10, 2017 Accepting new patients
Orthopedics Rhode Island, Inc Physician Assistant Past Accepting new patients

Locations

900 Warren Ave
Ste 202
East Providence, RI 02914

120 Centerville Rd
Warwick, RI 02886
Phone (401) 562-1017

300 Crossings Blvd
Warwick, RI 02886
Phone (716) 208-1708

Organizations & group practices 3

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": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1629503511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CENTERVILLE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864336",
            "telephone_number": "401-738-3730",
            "fax_number": "401-738-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CENTERVILLE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864336",
            "telephone_number": "401-738-3730",
            "fax_number": "401-738-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABATCHNICK",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.