Individual provider Active NPI

Nathan Ribeiro

  • Physician Assistant
  • Johnston, RI
National Provider Identifier
1679162382
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01428 Issued in RI
Practice address
1524 Atwood Ave Ste 220
Johnston, RI 02919-3278
Phone
(401) 272-1900
Fax
(401) 453-3049
NPI assigned
Jan 16, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA01428 RI Primary

Addresses

Primary practice location

1524 Atwood Ave Ste 220
Johnston, RI 02919-3278

Mailing address

32 Chesworth St
Fall River, MA 02723-2507
Phone (508) 837-9988

Other practice location 1

19 Foster St
Fall River, MA 02721-6776
Phone (508) 373-5607

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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220216000785 RI Practitioner - Physician Assistant 2264825256 Reassigns benefits to 2 organizations
I20221117001283 MA Practitioner - Physician Assistant 2264825256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Atwood Medical Associates LTDGroup PAC ID 0941106652, 24 clinicians
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians

Practice addresses (Care Compare)

1524 Atwood Ave
Suite 220
Johnston, RI 02919-3288
Phone (401) 272-1900

363 Highland Ave
Fall River, MA 02720-3703
Phone (508) 973-5919

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atwood Medical Associates LTD CurrentSince Apr 1, 2026 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Oct 10, 2025 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Oct 10, 2025 Accepting new patients

Locations

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

1524 Atwood Ave
Ste 220
Johnston, RI 02919
Phone (401) 272-1900

200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000

Interoperability endpoints

  • Direct secure messaging: nribeiro58795@direct.southcoast.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.

Hospital & facility affiliations 2

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": "1610755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1679162382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CHESWORTH ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027232507",
            "telephone_number": "508-837-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE STE 220",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193278",
            "telephone_number": "401-272-1900",
            "fax_number": "401-453-3049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Foster St",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027216776",
            "country_code": "US",
            "telephone_number": "508-373-5607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIBEIRO",
        "first_name": "NATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-16",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA01428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

Verify at the official NPI Registry.