NPIMap

Individual provider Active NPI

Amelia Vera Tajik, MD

  • Internal Medicine Physician
  • Providence, RI
National Provider Identifier
1801454491
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD18489 Issued in RI
Practice address
1195 North Main Street
Cnemg Primary Care WMC
Providence, RI 02904-0288
Phone
(401) 736-4562
Fax
(401) 921-9864
NPI assigned
May 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD18489 RI Primary

Addresses

Primary practice location

1195 North Main Street
Cnemg Primary Care WMC
Providence, RI 02904-0288

Mailing address

455 Toll Gate Rd
PRC and Credentialing
Warwick, RI 02886-2759
Phone (401) 273-0641

Other practice location 1

245 Chapman St Ste 300
Providence, RI 02905-4539
Phone (401) 444-4741

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
I20220624001900 RI Practitioner - Internal Medicine 4486033271 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Vermont College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1122

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical Physicians, Inc. Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
The Miriam Hospital Current Accepting new patients
Affinity Physicians LLC. Internal Medicine Current Accepting new patients
The Miriam Hospital Current Accepting new patients
The Miriam Hospital Current Accepting new patients
Coastal Medical Physicians, Inc. Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Affinity Physicians LLC CurrentSince Mar 1, 2025 Accepting new patients
The Miriam Hospital CurrentSince Sep 3, 2023 Accepting new patients
The Miriam Hospital CurrentSince Sep 3, 2023 Accepting new patients
Brown Dermatology, Inc. PastSince Jul 1, 2022 Accepting new patients

Locations

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

146 W River St
Ste 11C
Providence, RI 02904
Phone (401) 606-3000

245 Chapman St
Ste 300
Providence, RI 02905
Phone (401) 444-4741

146 W River St
Fl 3
Providence, RI 02904
Phone (401) 793-5700

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

593 Eddy St
Providence, RI 02903

146 W River St
Providence, RI 02904
Phone (401) 444-7442

1195 N Main St
Providence, RI 02904
Phone (401) 654-4433

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

164 Summit Ave
Ste B
Providence, RI 02906
Phone (401) 793-2928

375 Wampanoag Trl
Riverside, RI 02915
Phone (401) 649-4010

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

Interoperability endpoints

  • Direct secure messaging: atajik@direct.carene.org

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": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1801454491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "address_2": "PRC AND CREDENTIALING",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862759",
            "telephone_number": "401-273-0641",
            "fax_number": "401-273-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 NORTH MAIN STREET",
            "address_2": "CNEMG PRIMARY CARE WMC",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029040288",
            "telephone_number": "401-736-4562",
            "fax_number": "401-921-9864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Chapman St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029054539",
            "country_code": "US",
            "telephone_number": "401-444-4741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAJIK",
        "first_name": "AMELIA",
        "middle_name": "VERA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD18489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.