DR. LETICIA DWOMOR MD
NPI 1053805952
Obstetrics & Gynecology in Providence, RI
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 The Miriam Hospital, and maintains a secondary practice location in Providence.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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. 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.
Medicare Billing Reassignment
Medicare enrollment records show Leticia Dwomor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Providence, RI 02904
- Reassigned Medicare billing, Rhode Island enrollment
- 1,372 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The Miriam Hospital
Acute Care Hospitals · Providence, RIPhysician 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.
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.
PROVIDENCE, RI 02904
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.
Which organization bills Medicare for Leticia Dwomor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Leticia Dwomor reassigns Medicare benefits to Lifespan Physician Group Inc (Providence, RI). The 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 Leticia Dwomor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Leticia Dwomor affiliated with any hospitals?
According to CMS data, Leticia Dwomor is affiliated with 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Leticia Dwomor, MD · NPI 1053805952
Obstetrics & Gynecology physician in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since June 14, 2018.
## Identity
- **NPI:** 1053805952 (Entity type: Individual)
- **Enumerated:** June 14, 2018
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** LP04390 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 148 W RIVER ST STE 8, Providence, RI 02904-2615
- **Phone:** (401) 606-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lifespan Physician Group Inc (NPI 1720949803, Providence, RI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Pittsburgh School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** August 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1053805952) · Data from the CMS NPPES public registry.