NPIMap

Individual provider Active NPI

Kayle Sarah Shapero, MD PHD

  • Cardiovascular Disease Physician
  • Providence, RI
National Provider Identifier
1689101693
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD19119 Issued in RI
Practice address
101 Plain St FL 6
Providence, RI 02903-4829
Phone
(401) 274-1122
Fax
(401) 453-7622
NPI assigned
May 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD19119 RI Primary

Addresses

Primary practice location

101 Plain St FL 6
Providence, RI 02903-4829

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4541
Phone (401) 444-6779

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
I20231004003808 RI Practitioner - Cardiovascular Disease (Cardiology) 6901175629 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Miriam HospitalGroup PAC ID 6901796408, 178 clinicians
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

Practice addresses (Care Compare)

164 Summit Ave
Providence, RI 02906-2853
Phone (401) 793-4102

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD19119RIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Rhode Island Hospital Cardiovascular Disease CurrentSince Jan 2, 2024 Accepting new patients
The Miriam Hospital CurrentSince Sep 1, 2023 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Affinity Physicians LLC CurrentSince Feb 1, 2025 Accepting new patients
Affinity Physicians LLC. Cardiovascular Disease Current Accepting new patients
The Miriam Hospital Current Accepting new patients
The Miriam Hospital Current Accepting new patients
The Miriam Hospital Cardiovascular Disease CurrentSince Sep 1, 2023 Accepting new patients
Rhode Island Hospital CurrentSince Jan 2, 2024 Accepting new patients

Locations

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

1454 S County Trl
Ste 2200
East Greenwich, RI 02818
Phone (401) 444-8516

950 Warren Ave
Ste 201
East Providence, RI 02914
Phone (855) 332-8474

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

208 Collyer St
Ste 100
Providence, RI 02904
Phone (401) 793-7191

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

146 W River St
#11A
Providence, RI 02904
Phone (401) 606-8250

593 Eddy St
Providence, RI 02903

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

593 Eddy St
Bldg 1ST
Providence, RI 02903

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

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

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

Organizations & group practices 10

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 8

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": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1689101693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ELLENFIELD ST STE 101",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054541",
            "telephone_number": "401-444-6779"
        },
        {
            "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": "029034829",
            "telephone_number": "401-274-1122",
            "fax_number": "401-453-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPERO",
        "first_name": "KAYLE",
        "middle_name": "SARAH",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "RI",
            "license": "MD19119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.