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PRERANA BARANWAL
NPI 1013302058
Pediatrics - Pediatric Gastroenterology in Lincoln, RI

Active since April 06, 2015PECOS Enrolled
701 GEORGE WASHINGTON HWY STE 104, LINCOLN, RI 02865(401) 606-8052 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Prerana Baranwal NPPES

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

PRERANA BARANWAL (NPI 1013302058) is an individual pediatric gastroenterology provider in Lincoln, Rhode Island, licensed in Rhode Island (MD19159) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1013302058
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NamePRERANA BARANWAL
Location Address701 GEORGE WASHINGTON HWY STE 104Lincoln, RI 02865-4299
Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541 · (401) 444-6779
Phone(401) 606-8052
Sole ProprietorNo
Enumeration DateApril 6, 2015
Last NPPES UpdateApril 25, 2023
NPPES CertifiedApril 25, 2023
✔ NPI 1013302058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in RI · MD19159
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
701 GEORGE WASHINGTON HWY STE 104, Lincoln, RI 02865
Open in Google Maps ↗

Secondary Practice Location 1

Location 1505 E 70th St Fl 3New York, NY 10021-4872 · Phone (646) 962-3869

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prerana Baranwal 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Prerana Baranwal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifespan Physician Group Inc
5.8 mi
Urology
195 COLLYER ST STE 201
Providence, RI 02904
  • Reassigned Medicare billing, Rhode Island enrollment
  • 1,372 clinicians in this Medicare group
NPI 1720949803 (401) 272-7799
Rhode Island Hospital
8.6 mi
Pediatrics
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 265 clinicians in this Medicare group
NPI 1861420333 (401) 444-6195

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02865 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.

Other Providers at the Same Location NPPES 3

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

DR. SHAWN BINNS M.D.
Pediatrics
701 GEORGE WASHINGTON HWY STE 104
LINCOLN, RI 02865
Providence County (401) 606-8052
DR. VASUPRADHA SURESH KUMAR MD
Pediatrics (Pediatric Cardiology)
701 GEORGE WASHINGTON HWY STE 104
LINCOLN, RI 02865
Providence County (401) 606-8052
JESSIE LYN BOUCHARD MSN, APRN, FNP-C
Nurse Practitioner
701 GEORGE WASHINGTON HWY STE 104
LINCOLN, RI 02865
Providence County (401) 606-8052

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 Prerana Baranwal's NPI number?

The NPI number for Prerana Baranwal is 1013302058. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Prerana Baranwal located?

Prerana Baranwal practices at 701 George Washington Hwy Ste 104, Lincoln, RI 02865. The listed phone number is (401) 606-8052.

What is Prerana Baranwal's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Prerana Baranwal enrolled in Medicare?

Yes. Prerana Baranwal is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Prerana Baranwal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prerana Baranwal reassigns Medicare benefits to 2 organizations: Lifespan Physician Group Inc (Providence, RI) and Rhode Island Hospital (Providence, RI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Prerana Baranwal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Prerana Baranwal was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.