Active NPI
University Internal Medicine,Inc
- Internal Medicine Physician
- Pawtucket, RI
National Provider Identifier
1669507133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- UNIVERSITY INTERNAL MEDICINE,INC
- Practice address
- 407 East Ave Ste 110
Pawtucket, RI 02860-5299 - Phone
- (401) 725-4700
- Fax
- (401) 725-4740
- NPI assigned
- Feb 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Colleen Whalen
- Title
- Claims & Credentialing Specialist
- Phone
- (401) 725-4700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
407 East Ave Ste 110
Pawtucket, RI 02860-5299
Mailing address
407 East Ave Ste 110
Pawtucket, RI 02860-5299
Phone (401) 725-4700
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669507133 | Other | RI | UNITEDHEALTHCARE |
| UI50623 | Medicaid | RI | |
| 1669507133 | Other | RI | CIGNA |
| 1669507133 | Other | RI | BLUECHIP |
| 1669507133 | Other | RI | HPHC |
| 1669507133 | Other | RI | AETNA |
| 1669507133 | Other | RI | BCBS |
| 1669507133 | Other | RI | TUFTSRITOGETHER |
| 1669507133 | Other | RI | NEIGHBORHOODHEALTHPLANOFRHODEISLAND |
| 1669507133 | Other | RI | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 41D1009688 | University Internal Medicine, Inc | Certificate of waiver | Feb 23, 2027 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- uim@direct.uim.md
- careteam@direct.uim.md
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Pawtucket, RI
- NPI 1730140864
-
- Internal Medicine Physician
- Pawtucket, RI
- NPI 1720049802
-
- Physician Assistant
- Pawtucket, RI
- NPI 1821726803
-
- Physician Assistant
- Pawtucket, RI
- NPI 1265058044
-
- Physician Assistant
- Pawtucket, RI
- NPI 1669518379
-
- Physician Assistant
- Pawtucket, RI
- NPI 1821980566
-
- Internal Medicine Physician
- Pawtucket, RI
- NPI 1346202884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786492800000",
"number": "1669507133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 EAST AVE STE 110",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028605299",
"telephone_number": "401-725-4700",
"fax_number": "401-725-4740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 EAST AVE STE 110",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028605299",
"telephone_number": "401-725-4700",
"fax_number": "401-725-4740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY INTERNAL MEDICINE,INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-23",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A",
"authorized_official_last_name": "WHALEN",
"authorized_official_first_name": "COLLEEN",
"authorized_official_title_or_position": "CLAIMS & CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "401-725-4700"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "1669507133",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "UI50623",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1669507133",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHIP",
"identifier": "1669507133",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "1669507133",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1669507133",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1669507133",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTSRITOGETHER",
"identifier": "1669507133",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOODHEALTHPLANOFRHODEISLAND",
"identifier": "1669507133",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1669507133",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pawtucket, RI
- United Cerebral Palsy of Rhode Island, Inc.
- United Cerebral Palsy of Rhode Island, Inc.
- United Cerebral Palsy of Rhode Island, Inc.
- United Cerebral Palsy of Rhode Island, Inc.
- United Paths LLC
- Urban Perinatal Education Center
- Henry Urbaniak, MD
- Urgent Care of Pawtucket
- Kerstin Uy, MD
- Dianne Vadeboncoeur, MA, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.