Individual provider Active NPI

Luke Klumpp, PA-C, AT

  • Physician Assistant
  • Warwick, RI
National Provider Identifier
1881051902
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01704 Issued in RI
Practice address
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone
(401) 729-2800
Fax
(401) 729-2877
NPI assigned
Jan 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X PA01704 RI Primary
Athletic Trainer 2255A2300X

Addresses

Primary practice location

455 Toll Gate Rd
Warwick, RI 02886-2759

Mailing address

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

Other practice location 1

6 Blackstone Valley Pl
Lincoln, RI 02865-1179
Phone (401) 729-2800

Other practice location 2

300 Crossings Blvd
Warwick, RI 02886-2878
Phone (516) 554-5730

Other practice location 3

1405 S County Trl Ste 510
East Greenwich, RI 02818-5097
Phone (401) 729-2800

Other practice location 4

1539 Atwood Ave Ste 203
Johnston, RI 02919-3262
Phone (401) 729-2800

Other practice location 5

101 Plain Street
4th floor
Providence, RI 02903-4829
Phone (401) 729-2800

Other practice location 6

100 Butler Dr
Providence, RI 02906-4862
Phone (401) 729-2800

Other practice location 7

111 Brewster St
Pawtucket, RI 02860-4400
Phone (401) 729-2800

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
I20240814001233 RI Practitioner - Physician Assistant 9335687920 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedics Rhode Island IncGroup PAC ID 7012225907, 123 clinicians
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

10 High St
Wakefield, RI 02879-3176
Phone (401) 777-7000

268 Post Rd
Westerly, RI 02891-6600
Phone (401) 777-7000

300 Crossings Blvd
Warwick, RI 02886-2878
Phone (401) 777-7000

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

900 Warren Ave
Suite 202
East Providence, RI 02914-1430
Phone (401) 777-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA01704RIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedics Rhode Island, Inc Physician Assistant CurrentSince Jul 15, 2024 Accepting new patients
Affinity Physicians LLC CurrentSince Mar 1, 2026 Accepting new patients
Orthopedics Rhode Island, Inc CurrentSince Jul 15, 2024 Accepting new patients
Affinity Physicians LLC. CurrentSince Mar 1, 2026 Accepting new patients

Locations

1405 S County Trl
Ste 510
East Greenwich, RI 02818
Phone (401) 736-4523

1539 Atwood Ave
Ste 203
Johnston, RI 02919
Phone (401) 421-2110

6 Blackstone Valley Pl
Lincoln, RI 02865
Phone (401) 333-3111

111 Brewster St
Pawtucket, RI 02860
Phone (401) 729-2000

588 Pawtucket Ave
Pawtucket, RI 02860
Phone (401) 722-2400

100 Butler Dr
Providence, RI 02906
Phone (401) 277-0790

101 Plain St
Fl 4
Providence, RI 02903
Phone (401) 729-2800

300 Crossings Blvd
Warwick, RI 02886
Phone (716) 208-1708

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

200 Crossings Blvd
Ste 310
Warwick, RI 02886

Organizations & group practices 4

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": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1881051902",
    "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": "455 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862759",
            "telephone_number": "401-729-2800",
            "fax_number": "401-729-2877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Blackstone Valley Pl",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "RI",
            "postal_code": "028651179",
            "country_code": "US",
            "telephone_number": "401-729-2800",
            "fax_number": "401-729-2877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Crossings Blvd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028862878",
            "country_code": "US",
            "telephone_number": "516-554-5730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1405 S County Trl Ste 510",
            "address_purpose": "LOCATION",
            "city": "East Greenwich",
            "state": "RI",
            "postal_code": "028185097",
            "country_code": "US",
            "telephone_number": "401-729-2800",
            "fax_number": "401-921-6161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1539 Atwood Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Johnston",
            "state": "RI",
            "postal_code": "029193262",
            "country_code": "US",
            "telephone_number": "401-729-2800",
            "fax_number": "401-729-2877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Plain Street",
            "address_2": "4th floor",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034829",
            "country_code": "US",
            "telephone_number": "401-729-2800",
            "fax_number": "401-729-2877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Butler Dr",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029064862",
            "country_code": "US",
            "telephone_number": "401-729-2800",
            "fax_number": "401-729-2877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Brewster St",
            "address_purpose": "LOCATION",
            "city": "Pawtucket",
            "state": "RI",
            "postal_code": "028604400",
            "country_code": "US",
            "telephone_number": "401-729-2800",
            "fax_number": "401-729-2877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLUMPP",
        "first_name": "LUKE",
        "credential": "PA-C, AT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-20",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA01704",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.