DR. LETICIA DWOMOR MD
NPI 1053805952
Obstetrics & Gynecology in Providence, RI

Active since June 14, 2018PECOS EnrolledAccepts Medicare Assignment
148 W RIVER ST STE 8, PROVIDENCE, RI 02904(401) 606-3000 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 9, 2022, Jul 20, 2022, Jun 14, 2018 (3 updates tracked since 2018).

About Dr. Leticia Dwomor Md NPPES

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

DR. LETICIA DWOMOR MD (NPI 1053805952) is an individual obstetrics & gynecology provider in Providence, Rhode Island, licensed in Rhode Island (LP04390) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1053805952
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. LETICIA DWOMORCredential: MD
Location Address148 W RIVER ST STE 8Providence, RI 02904-2615
Mailing Address148 W River St Ste 8Providence, RI 02904-2615
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2018
Enumeration DateJune 14, 2018
Last NPPES UpdateAugust 9, 20223 updates tracked since enumeration
NPPES CertifiedAugust 9, 2022
NPI 1053805952 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 · LP04390
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.

148 W RIVER ST STE 8, Providence, RI 02904

Secondary Practice Location 1

Location 1101 Dudley StProvidence, RI 02905-2401 · Phone (401) 274-1100

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

Dr. Leticia Dwomor 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 ID1951729300
PECOS Enrollment IDI20220830004317
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.

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 02904 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 20

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

Obstetrics & Gynecology
148 W RIVER ST STE 8
PROVIDENCE, RI 02904
Obstetrics & Gynecology
148 W RIVER ST STE 8
PROVIDENCE, RI 02904
Obstetrics & Gynecology (Maternal & Fetal Medicine)
148 W RIVER ST STE 8
PROVIDENCE, RI 02904
Advanced Practice Midwife
148 W RIVER ST STE 8
PROVIDENCE, RI 02904
Obstetrics & Gynecology
148 W RIVER ST STE 8
PROVIDENCE, RI 02904
Obstetrics & Gynecology
148 W RIVER ST STE 8
PROVIDENCE, RI 02904
Obstetrics & Gynecology
148 W RIVER ST STE 8
PROVIDENCE, RI 02904
Obstetrics & Gynecology
148 W RIVER ST STE 8
PROVIDENCE, RI 02904

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 Leticia Dwomor's NPI number?

The NPI number for Leticia Dwomor is 1053805952. It was assigned to this individual provider in the NPPES registry on June 14, 2018.

Where is Leticia Dwomor located?

Leticia Dwomor practices at 148 W River St Ste 8, Providence, RI 02904. The listed phone number is (401) 606-3000.

What is Leticia Dwomor's specialty?

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

Is Leticia Dwomor enrolled in Medicare?

Yes. Leticia Dwomor 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 Leticia Dwomor affiliated with any hospitals?

According to CMS data, Leticia Dwomor is affiliated with Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Leticia Dwomor was last updated on August 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.