Individual provider Active NPI

Colin Matthew Woodard, DO

  • Gastroenterology Physician
  • Cranston, RI
National Provider Identifier
1760820591
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
DO00958 Issued in RI
Practice address
1150 Reservoir Ave Ste 201
Cranston, RI 02920-6092
Phone
(401) 943-1300
Fax
(401) 946-8480
NPI assigned
Jun 14, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X DO00958 RI Primary

Addresses

Primary practice location

1150 Reservoir Ave Ste 201
Cranston, RI 02920-6092

Mailing address

PO Box 202230
Dallas, TX 75320-2230
Phone (401) 943-1300

Other identifiers 1

IdentifierTypeStateIssuer
1760820591MedicaidRI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190723001173 RI Practitioner - Gastroenterology 3779872916 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of New England, College of Osteo Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Gastroenterology, LLCGroup PAC ID 3678762804, 99 clinicians
Internal Medicine Associates IncGroup PAC ID 9234029257, 7 clinicians

Practice addresses (Care Compare)

1150 Reservoir Ave
Cranston, RI 02920-6068
Phone (401) 943-1300

1150 Reservoir Ave
Suite 201
Cranston, RI 02920-6043
Phone (401) 943-1300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy109
Upper gastrointestinal (GI) endoscopy for acid reflux113

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Gastroenterology, LLC Gastroenterology CurrentSince Aug 1, 2025 Accepting new patients
Internal Medicine Associates Inc Gastroenterology CurrentSince Aug 1, 2019 Accepting new patients

Locations

1150 Reservoir Ave
Ste 201
Cranston, RI 02920
Phone (401) 228-3393

1150 Reservoir Ave
Cranston, RI 02920
Phone (401) 259-0340

3461 S County Trl
Ste 201
East Greenwich, RI 02818
Phone (401) 471-6850

360 Kingstown Rd
Ste 202204
Narragansett, RI 02882
Phone (401) 789-1860

360 Kingstown Rd
Unit 202
Narragansett, RI 02882
Phone (401) 789-1860

33 Staniford St
Providence, RI 02905
Phone (401) 274-1810

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

Organizations & group practices 2

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 3

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": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1760820591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 202230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753202230",
            "telephone_number": "401-943-1300",
            "fax_number": "401-946-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 RESERVOIR AVE STE 201",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206092",
            "telephone_number": "401-943-1300",
            "fax_number": "401-946-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "COLIN",
        "middle_name": "MATTHEW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "RI",
            "license": "DO00958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760820591",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.