Individual provider Active NPI

Paul Patrick Koffer, M.D.

  • Radiation Oncology Physician
  • Providence, RI
National Provider Identifier
1821433053
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD16186 Issued in RI
Practice address
593 Eddy St
Providence, RI 02903
Phone
(401) 444-3600
Fax
(401) 444-3124
NPI assigned
May 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD16186 RI Primary

Addresses

Primary practice location

593 Eddy St
Providence, RI 02903

Mailing address

800 Washington St.
Box 1013: Provider Enrollment
Boston, MA 02111-1552
Phone (617) 636-8153

Other identifiers 1

IdentifierTypeStateIssuer
1821433053MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180611000043 RI Practitioner - Radiation Oncology 7618266818 Reassigns benefits to 2 organizations
I20250530002770 NC Practitioner - Radiation Oncology 7618266818 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Temple University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

20 Duke Medicine Cir
Durham, NC 27710-2000
Phone (919) 684-8111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD16186RIMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. Current Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Radiosurgery Center of Rhode Island LLC Radiation Oncology CurrentSince Aug 19, 2018 Accepting new patients
Duke University Health System, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Lifespan Corporation Current Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Duke University Health System, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Rhode Island Hospital Past Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients

Locations

234 Crooked Creek Pkwy
Durham, NC 27713
Phone (919) 385-3000

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

20 Duke Medicine Cir
Durham, NC 27710
Phone (919) 668-6608

3404 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 862-5400

3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000

1454 S County Trl
Ste 1400
East Greenwich, RI 02818
Phone (844) 222-2881

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

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

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

593 Eddy St
Bsmt Apc
Providence, RI 02903
Phone (401) 444-8311

593 Eddy St
Providence, RI 02903

593 Eddy St
Lowr
Providence, RI 02903
Phone (401) 444-4471

Interoperability endpoints

  • Direct secure messaging: pkoffer652266@direct.medicine.duke.edu
  • Direct secure messaging: pkoffer29363@brownhealth.medalliesdirect.net

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 12

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": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1821433053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST.",
            "address_2": "BOX 1013: PROVIDER ENROLLMENT",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-636-8153",
            "fax_number": "617-636-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02903",
            "telephone_number": "401-444-3600",
            "fax_number": "401-444-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOFFER",
        "first_name": "PAUL",
        "middle_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-01",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "RI",
            "license": "MD16186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821433053",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.