DR. NABILA KABIR MAZUMDER M.D.
NPI 1033509567
Internal Medicine in Providence, RI

Q: What is Nabila Mazumder's NPI number?

The NPI number for Nabila Mazumder is 1033509567. It was assigned to this individual provider in the NPPES registry on February 5, 2015.

Q: What is Nabila Mazumder's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nabila Mazumder was last updated on October 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since February 05, 2015PECOS EnrolledAccepts Medicare Assignment

164 SUMMIT AVE, PROVIDENCE, RI 02906(401) 793-2104(423) 793-4047 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2020, Mar 17, 2018, Nov 8, 2017 and 1 more (4 updates tracked since 2016).

On this page

About Dr. Nabila Kabir Mazumder M.d. NPPES

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

DR. NABILA KABIR MAZUMDER M.D. (NPI 1033509567) is an individual internal medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD15370) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1033509567

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. NABILA KABIR MAZUMDERCredential: M.D.

Location Address164 SUMMIT AVEProvidence, RI 02906-2853

Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4513 · (401) 444-6779 · Fax (401) 444-6912

Phone(401) 793-2104

Fax(423) 793-4047

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateFebruary 5, 2015

Last NPPES UpdateOctober 1, 20204 updates tracked since enumeration

NPPES CertifiedOctober 1, 2020

✔ NPI 1033509567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in RI · MD15370

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.

Also ListedHospitalistTaxonomy 208M00000X · License 283139 (MA), MD15370 (RI)

164 SUMMIT AVE, Providence, RI 02906

Open in Google Maps ↗

Secondary Practice Locations 2

Location 111 Friendship StNewport, RI 02840-2209 · Phone (401) 845-1281 · Fax (401) 845-1026

Location 2363 Highland AveFall River, MA 02720-3703 · Phone (508) 973-5919 · Fax (508) 973-5916

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nabila Kabir Mazumder M.d. 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 ID4880986579

PECOS Enrollment IDI20200901000739

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

Medicare enrollment records show Nabila Mazumder reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifespan Physician Group Inc

0.4 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

The Miriam Hospital

1.0 mi

General Acute Care Hospital

146 W RIVER ST STE 11A
Providence, RI 02904

Reassigned Medicare billing, Rhode Island enrollment
30 clinicians in this Medicare group

NPI 1225073638 (401) 793-8770

Southcoast Physicians Group, Inc.

30 mi

Emergency Medicine

208 MILL RD
Fairhaven, MA 02719

Reassigned Medicare billing, Massachusetts enrollment
1,144 clinicians in this Medicare group

NPI 1861830143 (855) 319-0518

Hospital Medicine Associates LLC

1,344 mi

Hospitalist

17000 MEDICAL CENTER DR
Baton Rouge, LA 70816

Reassigned Medicare billing, Connecticut and Rhode Island enrollments
127 clinicians in this Medicare group

NPI 1093758781 (225) 752-2470

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

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 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.

883 services294 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.

137 services129 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.

103 services102 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

43 services13 patients

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.

36 services24 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.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220074

Location363 Highland AvenueFall River, MA 02720 · Bristol County

Emergency services Birthing friendly

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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier15 claims15 services$15.26 avg. paid by Medicare

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

1 supplier15 claims15 services$68.26 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)