Individual provider Active NPI

Elisabeth Pollis, PA-C

  • Physician Assistant
  • Cranston, RI
National Provider Identifier
1831072131
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01858 Issued in RI
Practice address
1150 Reservoir Ave Ste 201
Cranston, RI 02920-6032
Phone
(401) 943-1300
NPI assigned
Jul 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA01858 RI Primary

Addresses

Primary practice location

1150 Reservoir Ave Ste 201
Cranston, RI 02920-6032

Mailing address

1150 Reservoir Ave Ste 201
Cranston, RI 02920-6032
Phone (401) 943-1300

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260217002482 RI Practitioner - Physician Assistant 1850871914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Gastroenterology, LLCGroup PAC ID 3678762804, 99 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA01858RIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Gastroenterology, LLC CurrentSince Jan 19, 2026 Accepting new patients
Internal Medicine Associates Inc CurrentSince Nov 24, 2025 Accepting new patients

Locations

1150 Reservoir Ave
Ste ST203
Cranston, RI 02920

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

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

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

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

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1831072131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 RESERVOIR AVE STE 201",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206032",
            "telephone_number": "401-943-1300"
        },
        {
            "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": "029206032",
            "telephone_number": "401-943-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLIS",
        "first_name": "ELISABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-26",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA01858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.