Individual provider

Leonard Bertheau, D.O.

Diabetology (Family Medicine) Physician Family Medicine Physician Medicare enrolled

Leonard Bertheau, D.O. is a Diabetology (Family Medicine) Physician in Pawtucket, RI, registered under NPI 1912079500. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 111 BREWSTER ST, Pawtucket, RI 02860. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

111 BREWSTER ST, Pawtucket, RI 02860 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
DO01307 RI Diabetology (Family Medicine) Physician primary
DO01307 RI Family Medicine Physician

This provider holds licence DO01307 issued in RI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Family Practice
PAC ID
8729170402
Enrollment ID
I20240215003557

Medicare enrolment is recorded as approved under the provider type Practitioner - Family 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 Diabetology covers

A family medicine physician who specializes in diagnosis and management of type 1, type 2, gestational, and atypical diabetes; diabetes complications; hospital management of diabetic patients; use of technology in the treatment and monitoring of diabetes; management of ancillary diagnoses, such as hypertension, obesity, lipidemia, etc.; and education and counseling on nutrition and lifestyle management. NUCC Health Care Provider Taxonomy, code 207QD0401X
Allopathic & Osteopathic Physicians Family Medicine Diabetology

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207QD0401X Diabetology (Family Medicine) Physician Diabetology DO01307 RI primary
207Q00000X Family Medicine Physician DO01307 RI

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-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1912079500 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateNov 15, 2006
Last updatedDec 18, 2025
StatusActive
Sole proprietorNo
CredentialD.O.
Practice address 111 BREWSTER ST
Pawtucket, RI 02860
(401) 729-2304
Fax (401) 729-2923
Mailing address 455 TOLL GATE RD
Warwick, RI 02886
This record was updated on Dec 18, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1912079500 passes the NPI check digit test The final digit 0 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 9 1 2 0 7 9 5 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 9 2 2 0 7 9 5 0

Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0

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 1912079500?
NPI 1912079500 is the National Provider Identifier assigned to Leonard Bertheau, D.O. in Pawtucket, 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 Diabetology cover?
A family medicine physician who specializes in diagnosis and management of type 1, type 2, gestational, and atypical diabetes; diabetes complications; hospital management of diabetic patients; use of technology in the treatment and monitoring of diabetes; management of ancillary diagnoses, such as hypertension…
How do I contact Leonard Bertheau, D.O.?
The phone number on file with NPPES is (401) 729-2304, last updated Dec 18, 2025. 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 Leonard Bertheau, D.O. 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 1912079500 a valid number?
Yes. 1912079500 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.