Active NPI
Jonathan Irvine Gates, MD
- Internal Medicine Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 11135
- Practice address
- 355 Prairie Ave
Providence, RI 02905 - Phone
- (401) 444-0570
- Fax
- (401) 444-0427
- NPI assigned
- Apr 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 11135 | RI | Primary |
Addresses
Primary practice location
355 Prairie Ave
Providence, RI 02905
Mailing address
375 Allens Ave
Providence, RI 02905-5010
Phone (401) 444-0400
Other practice location 1
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010 ext. 4555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7010496 | Medicaid | RI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jonathan.gates@providencechc.directbygreenway.com |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17 Wells St
Westerly, RI 02891-2960
Phone 4015392461288
823 Main St
Hope Valley, RI 02832-1920
Phone 4015392461288
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11135 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wood River Health Services, Inc. | Current | Accepting new patients | |
| Thames Eye Group, PC | Past | Accepting new patients | |
| Women & Infants Hospital of Rhode Island | Past | Accepting new patients |
Locations
823 Main St
Hope Valley, RI 02832
17 Wells St
Ste 202
Westerly, RI 02891
Phone (401) 596-3313
17 Wells St
Ste 102
Westerly, RI 02891
Phone (401) 596-0339
Interoperability endpoints
- jonathan.gates.p1@direct.wrhsrhodeisland.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Hope Valley, RI
- NPI 1417947383
-
- Ophthalmology Physician
- Westerly, RI
- NPI 1841325818
-
- General Acute Care Hospital
- Providence, RI
- NPI 1447233788
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Westerly, RI
- NPI 1447595368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618358400000",
"number": "1922060466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 ALLENS AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029055010",
"telephone_number": "401-444-0400",
"fax_number": "401-444-0468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 PRAIRIE AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02905",
"telephone_number": "401-444-0570",
"fax_number": "401-444-0427"
}
],
"practiceLocations": [
{
"address_1": "455 Toll Gate Rd",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028862759",
"country_code": "US",
"telephone_number": "401-737-7010 x4555",
"fax_number": "401-736-4265",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GATES",
"first_name": "JONATHAN",
"middle_name": "IRVINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "11135",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7010496",
"state": "RI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jonathan.gates@providencechc.directbygreenway.com",
"affiliation": "N",
"address_1": "355 Prairie Ave",
"city": "Providence",
"state": "RI",
"country_code": "US",
"postal_code": "02905",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.