NPIMap

Individual provider Active NPI

Rebecca Gologorsky, M.D.

  • Colon & Rectal Surgery Physician
  • Providence, RI
National Provider Identifier
1710374343
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
MD19448 Issued in RI
Practice address
208 Collyer St Ste 301a
Providence, RI 02904-1560
Phone
(401) 725-4888
Fax
(401) 725-3336
NPI assigned
Apr 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Colon & Rectal Surgery Physician 208C00000X MD19448 RI Primary

Addresses

Primary practice location

208 Collyer St Ste 301a
Providence, RI 02904-1560

Mailing address

PO Box 16149
Rumford, RI 02916-0697
Phone (401) 453-9625

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230824001171 RI Practitioner - Colorectal Surgery (Proctology) 7618352063 Reassigns benefits to 2 organizations
I20240103001308 MA Practitioner - Colorectal Surgery (Proctology) 7618352063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Un of California, Irvine, College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians
University Surgical Associates, Inc.Group PAC ID 4082503032, 105 clinicians

Practice addresses (Care Compare)

208 Collyer St
Suite 301a
Providence, RI 02904-1560
Phone (401) 725-4888

Hospital & facility affiliations

  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007
  • Saint Anne'S Hospital Hospital, Fall River, MA, CCN 220020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD19448RIMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. Colon & Rectal Surgery CurrentSince Dec 1, 2025 Accepting new patients
Affinity Physicians LLC. Current Accepting new patients
Rhode Island Hospital Current Accepting new patients
Lifespan Physician Group of Massachusetts Inc CurrentSince Feb 8, 2026 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients

Locations

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

738 Washington St
South Attleboro, MA 02703
Phone (508) 761-6025

562 Washington St
South Attleboro, MA 02703
Phone (401) 725-4888

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

208 Collyer St
Ste 301A
Providence, RI 02904
Phone (401) 725-4888

2 Dudley St
Ste 470
Providence, RI 02905
Phone (401) 274-7546

900 Douglas Pike
Ste B1
Smithfield, RI 02917
Phone (401) 725-4888

Interoperability endpoints

  • Direct secure messaging: rgologorsky@direct.carene.org
  • Direct secure messaging: rebecca.gologorsky@usasurg.eclinicaldirectplus.com

Organizations & group practices 7

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 6

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": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1710374343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16149",
            "city": "RUMFORD",
            "state": "RI",
            "postal_code": "029160697",
            "telephone_number": "401-453-9625",
            "fax_number": "401-435-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 COLLYER ST STE 301A",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041560",
            "telephone_number": "401-725-4888",
            "fax_number": "401-725-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLOGORSKY",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "RI",
            "license": "MD19448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.