Individual provider Active NPI

Nina Karlsen Ayala, MD

  • Maternal & Fetal Medicine Physician
  • Providence, RI
National Provider Identifier
1669899522
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
MD16234 Issued in RI
Practice address
101 Plain St FL 6
Providence, RI 02903
Phone
(401) 274-1122
NPI assigned
Mar 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD16234 RI
Maternal & Fetal Medicine Physician 207VM0101X MD16234 RI Primary

Addresses

Primary practice location

101 Plain St FL 6
Providence, RI 02903

Mailing address

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 273-0641

Other practice location 1

101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1100

Other practice location 2

300A Faunce Corner Rd Ste 202
North Dartmouth, MA 02747
Phone (508) 995-2762

Other names 1

  • Nina Terez Karlsen-Ayala Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nayala@direct.carene.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180605002695 RI Practitioner - Obstetrics/Gynecology 9133418270 Reassigns benefits to 1 organization
I20210720000223 MA Practitioner - Obstetrics/Gynecology 9133418270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wih Faculty Physicians, IncGroup PAC ID 9234179763, 14 clinicians
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

373 New Boston Rd
Suite 3
Fall River, MA 02720-5852
Phone (508) 235-3500

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD16234RIMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wih Faculty Physicians, Inc Obstetrics & Gynecology CurrentSince Aug 15, 2021 Accepting new patients
Affinity Physicians LLC CurrentSince Jul 1, 2018 Accepting new patients
Affinity Physicians LLC. Obstetrics & Gynecology CurrentSince Jul 1, 2018 Accepting new patients
Wih Faculty Practice, Inc Obstetrics & Gynecology Past Accepting new patients

Locations

373 New Boston Rd
Ste 3
Fall River, MA 02720
Phone (508) 235-3500

543 North St
New Bedford, MA 02740
Phone (508) 973-2208

300A Faunce Corner Rd
Ste 202
North Dartmouth, MA 02747
Phone (508) 995-2762

101 Dudley St
Providence, RI 02905
Phone (401) 453-7950

101 Plain St
Fl 6
Providence, RI 02903
Phone (401) 453-7510

345 Blackstone Blvd
Providence, RI 02906
Phone (401) 455-6375

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

Interoperability endpoints

  • Direct secure messaging: nayala@direct.carene.org

Organizations & group practices 4

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": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1669899522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862759",
            "telephone_number": "401-273-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PLAIN ST FL 6",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02903",
            "telephone_number": "401-274-1122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Dudley St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029052401",
            "country_code": "US",
            "telephone_number": "401-274-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300A Faunce Corner Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "North Dartmouth",
            "state": "MA",
            "postal_code": "02747",
            "country_code": "US",
            "telephone_number": "508-995-2762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYALA",
        "first_name": "NINA",
        "middle_name": "KARLSEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-27",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "RI",
            "license": "MD16234",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "RI",
            "license": "MD16234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nayala@direct.carene.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "101 Dudley St",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029052401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NINA",
            "last_name": "KARLSEN-AYALA",
            "middle_name": "TEREZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.