Individual provider Active NPI

Natasha Renee Rybak, M.D.

  • Infectious Disease Physician
  • Providence, RI
National Provider Identifier
1932301330
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD13759 Issued in RI
Practice address
1125 N Main St
Providence, RI 02904-5739
Phone
(401) 793-2928
Fax
(401) 793-7401
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X MD13759 RI
Infectious Disease Physician 207RI0200X MD13759 RI Primary

Addresses

Primary practice location

1125 N Main St
Providence, RI 02904-5739

Mailing address

15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 444-6779

Other practice location 1

101 Dudley Street
Infectious Disease
Providence, RI 02905
Phone (401) 453-7950

Other practice location 2

164 Summit Ave
Providence, RI 02906-2853
Phone (401) 793-2928

Other identifiers 1

IdentifierTypeStateIssuer
1932301330MedicaidRI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160810001979 RI Practitioner - Infectious DiseasePractitioner - Internal Medicine 9133349855 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians
The Miriam HospitalGroup PAC ID 6901796408, 178 clinicians
Brown MedicineGroup PAC ID 0446159776, 220 clinicians

Practice addresses (Care Compare)

101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1122

11 Friendship St
Newport, RI 02840-2209
Phone (401) 845-1652

14 3Rd St
Providence, RI 02906-2738
Phone (401) 793-7272

164 Summit Ave
Providence, RI 02906-2853
Phone (401) 793-4050

180 Corliss St
Providence, RI 02904-2602

375 Wampanoag TRL
Riverside, RI 02915-2232
Phone (401) 649-4010

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4741

Hospital & facility affiliations

  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Medicine CurrentSince Jul 25, 2016 Accepting new patients
Lifespan Corporation Current Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Aug 1, 2016 Accepting new patients
The Miriam Hospital CurrentSince May 18, 2016 Accepting new patients
Brown Medicine Infectious Disease CurrentSince Jul 25, 2016 Accepting new patients
Affinity Physicians LLC. Pediatrics CurrentSince Jun 1, 2025 Accepting new patients
Lifespan Physician Group, Inc. Pediatrics CurrentSince Aug 1, 2016 Accepting new patients
Affinity Physicians LLC CurrentSince Jun 1, 2025 Accepting new patients
The Miriam Hospital Past Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients

Locations

11 Friendship St
#1
Newport, RI 02840
Phone (401) 845-1646

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

17 Virginia Ave
Ste 107
Providence, RI 02905
Phone (401) 784-4923

101 Dudley St
Providence, RI 02905
Phone (401) 453-7950

593 Eddy St
Providence, RI 02903

15 La Salle Sq
Providence, RI 02903

180 Corliss St
Ste E
Providence, RI 02904
Phone (401) 793-2928

1125 N Main St
Providence, RI 02904
Phone (401) 793-2928

164 Summit Ave
Fl 2
Providence, RI 02906
Phone (401) 793-4636

180 Corliss St
Ste F
Providence, RI 02904
Phone (401) 793-4715

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

375 Wampanoag Trl
Riverside, RI 02915
Phone (401) 649-4010

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

Interoperability endpoints

  • Direct secure messaging: nrybak15298@brownhealth.medalliesdirect.net

Organizations & group practices 11

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 5

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": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1932301330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LA SALLE SQ",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029031814",
            "telephone_number": "401-444-6779",
            "fax_number": "401-444-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045739",
            "telephone_number": "401-793-2928",
            "fax_number": "401-793-7401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Dudley Street",
            "address_2": "Infectious Disease",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "02905",
            "country_code": "US",
            "telephone_number": "401-453-7950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "164 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029062853",
            "country_code": "US",
            "telephone_number": "401-793-2928",
            "fax_number": "401-793-7401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYBAK",
        "first_name": "NATASHA",
        "middle_name": "RENEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "RI",
            "license": "MD13759",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "RI",
            "license": "MD13759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932301330",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.