Rhode Island Hospital
Organization Active NPI Neurology Physician · Providence, RI
NPI 1902902364 · NPPES record last updated Dec 11, 2025
Key facts
- NPI
- 1902902364
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- MD05819 (RI)
- Legal business name
- RHODE ISLAND HOSPITAL
- Practice address
- 593 Eddy St
Providence, RI 02903-4923 - Phone
- (401) 444-5603
- NPI assigned
- Sep 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Pater K Markell
- Title
- Evp & Cfo
- Phone
- (401) 444-7914
Other NPIs with the same Medicare PAC ID 11
Practitioners 496
-
George P Bayliss, M.D.
-
Jonathan Drake, M.D.
-
Heinrich Elinzano, M.D.
-
Karen Lisa Furie, MD
-
Nicholas Stevenson Potter, M.D., PH.D.
-
James M Taft, P.A.
-
Shadi Yaghi, MD
-
Victoria Rose Banaczuk, MS, RD, LDN
-
Chelsea Cotugno, MS RDN
-
Natalie Cunniff, RD, LDN
-
Jeannie Dorr, RD
-
Dimitrios Farmakiotis, M.D.
-
Anne K Fugere, RDN, LDN, CLC
-
Stephanie Marchand, RD, LDN
-
Basma O Merhi, MD
-
Jessica Mulligan, RD
-
Karen Rizzuto, MS, RD, LDN
-
Maria R Santini, RD
-
Christina Scully, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051022000063 | RI | Part B Supplier - Clinic/Group Practice | 8921900044 |
Receives reassigned benefits from 34 practitioners Practice locations: Providence, RI |
National Provider Directory
Locations
164 Summit Ave
Ste C70
Providence, RI 02906
1 Hoppin St
Ste 200
Providence, RI 02903
Phone (401) 444-5509
1011 Veterans Memorial Pkwy
Riverside, RI 02915
Phone (401) 432-1000
900 Douglas Pike
Ste B1
Smithfield, RI 02917
Phone (401) 725-4888
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | |||
| Pediatric Nutrition Registered Dietitian |
133VN1004X | |||
| Infectious Disease Physician |
207RI0200X | MD10461 | RI | |
| Plastic Surgery Physician |
208200000X | MD13106 | RI | |
| Plastic Surgery Physician |
208200000X | MD13126 | RI | |
| Neurology Physician |
2084N0400X | MD05819 | RI | Yes |
| Neurology Physician |
2084N0400X | MD13017 | RI | |
| Neurology Physician |
2084N0400X | MD13209 | RI | |
| Neurology Physician |
2084N0400X | MD12922 | RI | |
| Neurology Physician |
2084N0400X | MD13334 | RI | |
| Sleep Medicine (Psychiatry & Neurology) Physician |
2084S0012X | MD13134 | RI | |
| Vascular Neurology Physician |
2084V0102X | MD12724 | RI | |
| Vascular Neurology Physician |
2084V0102X | MD13426 | RI | |
| Nurse Practitioner |
363L00000X | NPP28320 | RI | |
| Nurse Practitioner |
363L00000X | NPP37550 | RI |
Addresses
Primary practice location
593 Eddy St
Providence, RI 02903-4923
Mailing address
15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 444-6779
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902902364 | Medicaid | RI |
Other names
- RIH Specialty Clinical Providers
- Hospital Departments
Other providers in Providence, RI
- Rhode Island Hospital
- Rhode Island Hospital
- Rhode Island Hospital
- Rhode Island Hospital
- Rhode Island Hospital
- Rhode Island Hospital
- Rhode Island Hospital
- Rhode Island Hospital
- Rhode Island Hospital
- Rhode Island Hospital/Hasbro Children'S Hospital
All providers in Providence, RI · Neurology Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.