Individual provider Active NPI

Jeremy Spector, M.D.

  • Gastroenterology Physician
  • Providence, RI
National Provider Identifier
1992794408
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD11505 Issued in RI
Practice address
44 W River St
Providence, RI 02904-2609
Phone
(401) 274-4800
Fax
(401) 454-0410
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD11505 RI Primary

Addresses

Primary practice location

44 W River St
Providence, RI 02904-2609

Mailing address

PO Box 202230
Dallas, TX 75320-2230
Phone (401) 274-4800

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
I20041012000044 RI Practitioner - Gastroenterology 6002876422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Vanderbilt University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Gastroenterology, LLCGroup PAC ID 3678762804, 99 clinicians
Gastroenterology Associates IncGroup PAC ID 6103886528, 14 clinicians

Practice addresses (Care Compare)

33 Staniford St
Providence, RI 02905-3105
Phone (401) 421-8800

44 W River St
Providence, RI 02904-2609
Phone (401) 274-4800

Hospital & facility affiliations

  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007
  • South County Hospital Inc Hospital, Wakefield, RI, CCN 410008

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy39
Upper gastrointestinal (GI) endoscopy for acid reflux50

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD11505RIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Gastroenterology, LLC Gastroenterology CurrentSince Aug 1, 2025 Accepting new patients
Gastroenterology Associates Inc Gastroenterology CurrentSince Aug 1, 2004 Accepting new patients
Endoscopy Associates, LLC Past Accepting new patients

Locations

106 Nate Whipple Hwy
Ste 201
Cumberland, RI 02864

1 Commerce St
Ste 2
Lincoln, RI 02865
Phone (401) 793-8484

333 School St
Ste 303
Pawtucket, RI 02860

1 Randall Sq
Ste 305
Providence, RI 02904
Phone (401) 223-0223

44 W River St
Ste 2
Providence, RI 02904

33 Staniford St
Providence, RI 02905
Phone (401) 274-1810

44 W River St
Providence, RI 02904
Phone 4012744800201

Interoperability endpoints

  • Direct secure messaging: jeremy.spector@ga.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BBICBD

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.

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1992794408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 202230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753202230",
            "telephone_number": "401-274-4800",
            "fax_number": "401-454-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 W RIVER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042609",
            "telephone_number": "401-274-4800",
            "fax_number": "401-454-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECTOR",
        "first_name": "JEREMY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "RI",
            "license": "MD11505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.