Active NPI
Mara G Coyle, MD
- Pediatrics Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD7682
- Practice address
- 101 Dudley St
Providence, RI 02905-2401 - Phone
- (401) 274-1100
- NPI assigned
- Jun 20, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD7682 | RI | Primary |
Addresses
Primary practice location
101 Dudley St
Providence, RI 02905-2401
Mailing address
455 Toll Gate Road
PRC and Credentialing
Warwick, RI 02886-2759
Phone (401) 273-0641
Other practice location 1
101 Plain Street
6th Floor
Providence, RI 02903-4829
Phone (401) 274-1122
Other practice location 2
455 Toll Gate Road
Warwick, RI 02886
Phone (401) 737-7000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mcoyle@wih.cernerdirect.carene.org | Health Information Exchange (HIE) |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051116000542 | RI | Practitioner - Pediatric Medicine | 0547289878 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD7682 | RI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Physicians LLC | Current | Accepting new patients | |
| Affinity Physicians LLC. | Pediatrics | Current | Accepting new patients |
| Women & Infants Hospital of Rhode Island | Past | Accepting new patients |
Locations
345 Blackstone Blvd
Providence, RI 02906
Phone (401) 455-6375
101 Dudley St
Providence, RI 02905
Phone (401) 453-7950
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
Interoperability endpoints
- mcoyle16364@direct.southcoast.org
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Providence, RI
- NPI 1053038471
-
- General Acute Care Hospital
- Providence, RI
- NPI 1447233788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1801832902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 TOLL GATE ROAD",
"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": "101 DUDLEY ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029052401",
"telephone_number": "401-274-1100"
}
],
"practiceLocations": [
{
"address_1": "101 Plain Street",
"address_2": "6th Floor",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029034829",
"country_code": "US",
"telephone_number": "401-274-1122",
"fax_number": "401-453-7622",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "455 Toll Gate Road",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "02886",
"country_code": "US",
"telephone_number": "401-737-7000",
"fax_number": "401-736-4546",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COYLE",
"first_name": "MARA",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-20",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "RI",
"license": "MD7682",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mcoyle@wih.cernerdirect.carene.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "101 Dudley St",
"city": "Providence",
"state": "RI",
"country_code": "US",
"postal_code": "029052401",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 14, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.