Active NPI
Jennifer R Adelson-Mitty, MD
- Infectious Disease Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MD09548
- Practice address
- 164 Summit Ave
Fain BLDG, Suite E
Providence, RI 02906-2853 - Phone
- (401) 793-2928
- Fax
- (401) 793-7401
- NPI assigned
- May 20, 2006
- Last updated
- Mar 27, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | MD09548 | RI | Primary |
Addresses
Primary practice location
164 Summit Ave
Fain BLDG, Suite E
Providence, RI 02906-2853
Mailing address
15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 444-6779
Other practice location 1
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-7793
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- New York University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
180 Corliss St
Providence, RI 02904-2602
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Miriam Hospital | Current | Accepting new patients | |
| The Miriam Hospital | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Lifespan Physician Group Inc | Current | Accepting new patients | |
| Brown Medicine | Infectious Disease | Current | Accepting new patients |
| Brown Medicine | Current | Accepting new patients | |
| Lifespan Corporation | Current | Accepting new patients | |
| Brown Medicine | Infectious Disease | Past | Accepting new patients |
| The Miriam Hospital | Past | Accepting new patients | |
| Brown Medicine | Past | Accepting new patients | |
| Brown Medicine | Past | Accepting new patients |
Locations
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
110 Lockwood St
Ste 116
Providence, RI 02903
Phone (401) 444-3575
1125 N Main St
Providence, RI 02904
Phone (401) 793-2928
15 La Salle Sq
Providence, RI 02903
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
164 Summit Ave
Ste E
Providence, RI 02906
Phone (401) 793-2928
17 Virginia Ave
Ste 107
Providence, RI 02905
Phone (401) 784-4923
593 Eddy St
Providence, RI 02903
375 Wampanoag Trl
Riverside, RI 02915
Phone (401) 649-4010
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EJFJAA
- jadelsonmitty166425@brownhealth.medalliesdirect.net
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical Specialty Clinic/Center
- Providence, RI
- NPI 1275810434
-
dba Brown Health Medical Group
- General Practice Physician
- Providence, RI
- NPI 1407116643
-
- Gastroenterology Physician
- Providence, RI
- NPI 1730827767
-
- Children's Rehabilitation Hospital
- Providence, RI
- NPI 1790221232
-
dba Brown Health Medical Group
- Dermatology Physician
- Providence, RI
- NPI 1578424602
-
dba Brown Health Medical Group
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
-
- Cardiac Rehabilitation Clinic/Center
- East Greenwich, RI
- NPI 1518482389
-
- Endocrinology, Diabetes & Metabolism Physician
- Riverside, RI
- NPI 1104564137
Infectious Disease
-
- Clinical Psychologist
- Riverside, RI
- NPI 1467190496
-
dba Brown Medicine Endoscopy Center
- Ambulatory Surgical Clinic/Center
- East Providence, RI
- NPI 1881101335
-
- General Acute Care Hospital
- Providence, RI
- NPI 1225073638
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774569600000",
"number": "1700830924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 LA SALLE SQ",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029031814",
"telephone_number": "401-444-6779",
"fax_number": "401-444-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 SUMMIT AVE",
"address_2": "FAIN BLDG, SUITE E",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029062853",
"telephone_number": "401-793-2928",
"fax_number": "401-793-7401"
}
],
"practiceLocations": [
{
"address_1": "593 Eddy St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029034923",
"country_code": "US",
"telephone_number": "401-444-7793",
"fax_number": "401-444-8179",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADELSON-MITTY",
"first_name": "JENNIFER",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "RI",
"license": "MD09548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.