Organization provider

PROVIDENCE UROLOGY, LLC

Urology Physician Medicare enrolled

PROVIDENCE UROLOGY, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1255386868, based in Providence, RI. It is classified under Urology Physician.

Getting there

The practice address on file is 1165 N MAIN ST SUITE 200, Providence, RI 02904. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1165 N MAIN ST SUITE 200, Providence, RI 02904 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
3476542804
Enrollment ID
O20101215001233

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Urology covers

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. NUCC Health Care Provider Taxonomy, code 208800000X
Allopathic & Osteopathic Physicians Urology

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1255386868 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateMay 23, 2006
Last updatedDec 6, 2011
StatusActive
Practice address 1165 N MAIN ST
SUITE 200
Providence, RI 02904
(401) 521-4333
Fax (401) 521-4377
Mailing address 340 MAIN ST STE. 670
Worcester, MA 01608
Other identifiers 9003351 · Medicaid (RI)
This record was last updated on Dec 6, 2011, roughly 14 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1255386868 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 5 5 3 8 6 8 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 1 5 6 8 3 8 3

Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1255386868?
NPI 1255386868 is the National Provider Identifier assigned to PROVIDENCE UROLOGY, LLC in Providence, RI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Urology Physician cover?
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their…
How do I contact PROVIDENCE UROLOGY, LLC?
The phone number on file with NPPES is (401) 521-4333, last updated Dec 6, 2011. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does PROVIDENCE UROLOGY, LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1255386868 a valid number?
Yes. 1255386868 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.