Active NPI
Luke Klumpp, PA-C, AT
- Physician Assistant
- Warwick, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA01704
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA01704 | RI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedics Rhode Island, Inc | Physician Assistant | Current | Accepting new patients |
| Affinity Physicians LLC | Current | Accepting new patients | |
| Orthopedics Rhode Island, Inc | Current | Accepting new patients | |
| Affinity Physicians LLC. | Current | 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.
-
- Internal Medicine Physician
- Warwick, RI
- NPI 1184944662
-
- Orthopaedic Surgery Physician
- Warwick, RI
- NPI 1407231293
Physician Assistant
-
- Anesthesiology Physician
- Providence, RI
- NPI 1053038471
-
- Durable Medical Equipment & Medical Supplies
- Johnston, RI
- NPI 1114740230
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kent County Hospital Rehab Unit
- Rehabilitation Hospital Unit
- Warwick, RI
- NPI 1023017944
-
- General Acute Care Hospital
- Warwick, RI
- NPI 1386643294
-
- General Acute Care Hospital
- Wakefield, RI
- NPI 1952366106
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.