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JAMES ATKINSON MD
NPI 1003894825
Internal Medicine in Providence, RI

Active since January 03, 2006PECOS EnrolledAccepts Medicare Assignment
164 SUMMIT AVE, PROVIDENCE, RI 02906(401) 793-4500 Get Directions Write a Review

NPPES record last updated: May 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James Atkinson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES ATKINSON MD (NPI 1003894825) is an individual internal medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD10773) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of Hahnemann University College Of Medicine (1997).

NPPES Registry Identity

NPI1003894825
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES ATKINSONCredential: MD
Location Address164 SUMMIT AVEProvidence, RI 02906-2853
Mailing AddressPo Box 3238Boston, MA 02241-3238 · (866) 689-8862
Phone(401) 793-4500
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1997
Enumeration DateJanuary 3, 2006
Last NPPES UpdateMay 22, 2008
✔ NPI 1003894825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in RI · MD10773
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
164 SUMMIT AVE, Providence, RI 02906
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Other Identifiers 5

Other409930RI · Bluechip
Medicare ID-Type Unspecified007056437RI
Medicaid9022629RI
Medicare PIN007056437RI
Other22629-3RI · Bcbs Ri

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Atkinson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789661042
PECOS Enrollment IDI20040706000008
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
181 services89 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
178 services97 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
61 services60 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
52 services51 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
47 services46 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$63.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HALINA KUC-MAZGAJ
Nurse Practitioner (Family)
164 SUMMIT AVE, THE MIRIAM HOSPITAL
PROVIDENCE, RI 02906
Providence County (401) 793-3902
KARL HERMAN M.D.
Internal Medicine
164 SUMMIT AVE, FAIN BLDG.
PROVIDENCE, RI 02906
Providence County (401) 793-4489
MUHAMMAD BAIG M.D.
Internal Medicine (Cardiovascular Disease)
164 SUMMIT AVE, FAIN BLDG
PROVIDENCE, RI 02906
Providence County (401) 793-4489
MS. LEANNE LAPARLE LICSW
Social Worker (Clinical)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (401) 793-2069
THOMAS FAIRWEATHER CRAIN MD
Internal Medicine (Cardiovascular Disease)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (401) 793-4630
DR. ORIANE DIANA LONGERSTAEY MD
Emergency Medicine
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (704) 355-3181
JEFFREY M BUROCK MD
Psychiatry & Neurology (Psychiatry)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (401) 793-4500
CHESTON CUNHA M.D.
Internal Medicine (Infectious Disease)
164 SUMMIT AVE, FAIN BLDG., SUITE B
PROVIDENCE, RI 02906
Providence County (401) 793-2928

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Atkinson's NPI number?

The NPI number for James Atkinson is 1003894825. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is James Atkinson located?

James Atkinson practices at 164 Summit Ave, Providence, RI 02906. The listed phone number is (401) 793-4500.

What is James Atkinson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Atkinson enrolled in Medicare?

Yes. James Atkinson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is James Atkinson affiliated with any hospitals?

According to CMS data, James Atkinson is affiliated with Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for James Atkinson was last updated on May 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.