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TARIRO MUPOMBWA M.D.
NPI 1033523675
Obstetrics & Gynecology in Providence, RI

Active since June 11, 2014PECOS EnrolledAccepts Medicare Assignment
2 DUDLEY ST STE 580, PROVIDENCE, RI 02905(401) 274-1122(401) 453-7684 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 28, 2026, Dec 20, 2022, Sep 4, 2018 and 1 more (4 updates tracked since 2018).

About Tariro Mupombwa M.d. NPPES

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

TARIRO MUPOMBWA M.D. (NPI 1033523675) is an individual obstetrics & gynecology provider in Providence, Rhode Island, licensed in Rhode Island (MD18987) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Harvard Medical School (2014).

NPPES Registry Identity

NPI1033523675
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameTARIRO MUPOMBWACredential: M.D.
Location Address2 DUDLEY ST STE 580Providence, RI 02905-3244
Mailing Address455 Toll Gate RdWarwick, RI 02886-2759 · (401) 273-0641 · Fax (401) 273-2919
Phone(401) 274-1122
Fax(401) 453-7684
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2014
Enumeration DateJune 11, 2014
Last NPPES UpdateApril 28, 20264 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1033523675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in RI · MD18987
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2 DUDLEY ST STE 580, Providence, RI 02905
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1101 Dudley StProvidence, RI 02905-2401 · Phone (401) 453-7950 · Fax (401) 453-7658
Location 2118 Dudley StProvidence, RI 02905-2403 · Phone (401) 430-8380 · Fax (401) 919-5855
Location 3455 Toll Gate RdWarwick, RI 02886-2759 · Phone (401) 737-7010 · Fax (401) 738-0013

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

Tariro Mupombwa 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 ID2567789159
PECOS Enrollment IDI20230131000692
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

3

Medicare enrollment records show Tariro Mupombwa reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Affinity Physicians LLC
14 mi
Anesthesiology
101 DUDLEY STREET, WIH DEPT OF ANESTHESIOLOGY
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 984 clinicians in this Medicare group
NPI 1053038471 (401) 274-1122
Beth Israel Deaconess Medical Center, Inc.
32 mi
General Acute Care Hospital
330 BROOKLINE AVE, ST 207
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,477 clinicians in this Medicare group
NPI 1548202641 (617) 667-1961
Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc
32 mi
Obstetrics & Gynecology
330 BROOKLINE AVE
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 161 clinicians in this Medicare group
NPI 1518908136 (617) 632-7441

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 02905 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
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
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 6

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

AMANDA M FABIAN NP-BC
Nurse Practitioner (Family)
2 DUDLEY ST STE 580
PROVIDENCE, RI 02905
Providence County (401) 274-1122
AMY ELIZABETH COOPER NP
Nurse Practitioner (Women's Health)
2 DUDLEY ST STE 580
PROVIDENCE, RI 02905
Providence County (401) 274-1122
STEPHANIE T ROS SAPOSNIK MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
2 DUDLEY ST STE 580
PROVIDENCE, RI 02905
Providence County (401) 273-0641
TANYA GENDRON WHNP
Nurse Practitioner (Women's Health)
2 DUDLEY ST STE 580
PROVIDENCE, RI 02905
Providence County (401) 274-1122
ELIZABETH GLATFELTER CNM/WHNP
Advanced Practice Midwife
2 DUDLEY ST STE 580
PROVIDENCE, RI 02905
Providence County (401) 274-1122
ERIN ELIZABETH BARLOW M.D.
Obstetrics & Gynecology
2 DUDLEY ST STE 580
PROVIDENCE, RI 02905
Providence County (401) 274-1122

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 Tariro Mupombwa's NPI number?

The NPI number for Tariro Mupombwa is 1033523675. It was assigned to this individual provider in the NPPES registry on June 11, 2014.

Where is Tariro Mupombwa located?

Tariro Mupombwa practices at 2 Dudley St Ste 580, Providence, RI 02905. The listed phone number is (401) 274-1122.

What is Tariro Mupombwa's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Tariro Mupombwa enrolled in Medicare?

Yes. Tariro Mupombwa 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.

Which organizations bill Medicare for Tariro Mupombwa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tariro Mupombwa reassigns Medicare benefits to 3 organizations: Affinity Physicians LLC (Providence, RI), Beth Israel Deaconess Medical Center, Inc. (Boston, MA) and Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (Boston, MA). 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 Tariro Mupombwa'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 Tariro Mupombwa was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.