Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KENNETH ROBERT LARSEN D.O
NPI 1003894940
Emergency Medicine in Warwick, RI

Active since December 31, 2005PECOS Enrolled
455 TOLL GATE RD, WARWICK, RI 02886(401) 736-4289 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kenneth Robert Larsen D.o NPPES

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

KENNETH ROBERT LARSEN D.O (NPI 1003894940) is an individual emergency medicine provider in Warwick, Rhode Island, licensed in Rhode Island (490) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003894940
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameKENNETH ROBERT LARSENCredential: D.O
Location Address455 TOLL GATE RDWarwick, RI 02886-2759
Mailing Address382 Grindstone Hill RdNorth Stonington, CT 06359-1106 · (860) 599-1871 · Fax (860) 599-6071
Sole ProprietorNo
Enumeration DateDecember 31, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1003894940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in RI · 490 Licensed in CT · 273
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

455 TOLL GATE RD, Warwick, RI 02886

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kenneth Robert Larsen D.o is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02886 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
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.

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.

Internal Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Radiology (Vascular & Interventional Radiology)
455 TOLL GATE RD
WARWICK, RI 02886
Emergency Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Nurse Anesthetist, Certified Registered
455 TOLL GATE RD
WARWICK, RI 02886
Nurse Anesthetist, Certified Registered
455 TOLL GATE RD
WARWICK, RI 02886
Nurse Anesthetist, Certified Registered
455 TOLL GATE RD
WARWICK, RI 02886
Nurse Anesthetist, Certified Registered
455 TOLL GATE RD
WARWICK, RI 02886
Nurse Anesthetist, Certified Registered
455 TOLL GATE RD
WARWICK, RI 02886

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003894940, enumerated as an "individual" on December 31, 2005.

The provider is located at 455 TOLL GATE RD WARWICK, RI 02886 and the phone number is (401) 736-4289.

Emergency Medicine with taxonomy code 207P00000X.