NPIMap

Individual provider Active NPI

Lidia A Vognar, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Pawtucket, RI
National Provider Identifier
1912148198
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MD14217 Issued in RI
Practice address
407 East Ave
Suite 110
Pawtucket, RI 02860-5290
Phone
(401) 728-7270
NPI assigned
Mar 17, 2009
Last updated
May 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD14217 RI Primary

Addresses

Primary practice location

407 East Ave
Suite 110
Pawtucket, RI 02860-5290

Mailing address

17 Virginia Ave
Suite 107
Providence, RI 02905-4406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, DE2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130712000326 RI Practitioner - Internal MedicinePractitioner - Geriatric Medicine 9537309679 Reassigns benefits to 5 organizations
I20250717001602 DE Practitioner - Internal MedicinePractitioner - Geriatric Medicine 9537309679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prospect Chartercare RWMC, LLCGroup PAC ID 0547492696, 66 clinicians

Practice addresses (Care Compare)

715 Putnam Pike
Greenville, RI 02828-1428
Phone (401) 949-1844

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD14217RIMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chartercare Physicians, LLC CurrentSince May 28, 2025 Accepting new patients
Prospect Chartercare RWMC, LLC CurrentSince Jun 1, 2019 Accepting new patients
Prospect Chartercare RWMC, LLC CurrentSince Jun 1, 2019 Accepting new patients
Prospect Chartercare Physicians, LLC CurrentSince Jun 22, 2022 Accepting new patients
Chartercare Roger Williams Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Harmony Hospice Care LLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

1681 Cranston St
Cranston, RI 02920
Phone (401) 944-6889

1 Office Pkwy
East Providence, RI 02914
Phone (401) 270-7110

715 Putnam Pike
Greenville, RI 02828
Phone (401) 529-3625

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

501 Wampanoag Trl
Unit 2
Riverside, RI 02915
Phone (401) 435-3327

931 Jefferson Blvd
Ste 3004
Warwick, RI 02886
Phone (401) 252-5700

Interoperability endpoints

  • Direct secure messaging: lidia.vognar.1@9000.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1912148198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 VIRGINIA AVE",
            "address_2": "SUITE 107",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 EAST AVE",
            "address_2": "SUITE 110",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605290",
            "telephone_number": "401-728-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGNAR",
        "first_name": "LIDIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-17",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "RI",
            "license": "MD14217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.