DR. ANDREW MINORU FUKUDA MD, PHD
NPI 1053806497
Psychiatry & Neurology - Psychiatry in Providence, RI

Q: What is Andrew Fukuda's NPI number?

The NPI number for Andrew Fukuda is 1053806497. It was assigned to this individual provider in the NPPES registry on June 27, 2018.

Q: What is Andrew Fukuda's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Fukuda was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since June 27, 2018PECOS EnrolledAccepts Medicare Assignment

345 BLACKSTONE BLVD, PROVIDENCE, RI 02906(401) 455-6346(401) 455-6532 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2022, Jul 9, 2021, Jul 3, 2018 and 1 more (4 updates tracked since 2018).

On this page

About Dr. Andrew Minoru Fukuda Md, Phd NPPES

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

DR. ANDREW MINORU FUKUDA MD, PHD (NPI 1053806497) is an individual psychiatry provider in Providence, Rhode Island, licensed in Rhode Island (MD17238) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2018).

NPPES Registry Identity

NPI1053806497

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. ANDREW MINORU FUKUDACredential: MD, PHD

Location Address345 BLACKSTONE BLVDProvidence, RI 02906-4829

Mailing Address345 Blackstone Blvd, Box G-bhProvidence, RI 02906-4800 · (401) 455-6375

Phone(401) 455-6346

Fax(401) 455-6532

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2018

Enumeration DateJune 27, 2018

Last NPPES UpdateOctober 15, 20244 updates tracked since enumeration

NPPES CertifiedApril 7, 2022

✔ NPI 1053806497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in RI · MD17238

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

345 BLACKSTONE BLVD, Providence, RI 02906

Open in Google Maps ↗

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. Andrew Minoru Fukuda Md, Phd 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 ID1052665569

PECOS Enrollment IDI20241025003486

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.

Areas of Expertise CMS Part B claims

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.

Treatment using magnetic field to stimulate nerve cells in brain, subsequent delivery and management 90868

This treatment involves using a magnetic field to activate nerve cells in the brain. It's a non-invasive procedure designed to manage conditions like depression. The magnetic field is precisely targeted to stimulate specific areas of the brain to improve symptoms.

69 services15 patients

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

$177.03 typical visit price

range $58.57 – $177.03

Typical copayment $44.25 (range $14.64 – $44.25)

Most-billed visit code 99205

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.

KEVIN E. BAILL MD & ASSOCIATES, LLC

Clinic/Center

345 BLACKSTONE BLVD
PROVIDENCE, RI 02906

Providence County (917) 447-2138

SHARATH PONNAPPA PUTTICHANDA

Psychiatry & Neurology (Psychiatry)

345 BLACKSTONE BLVD
PROVIDENCE, RI 02906

Providence County (401) 455-6346

MS. JASMINE APPLEBERRY M.S.W., L.I.C.S.W.

Social Worker (Clinical)

345 BLACKSTONE BLVD
PROVIDENCE, RI 02906

Providence County (401) 225-2044

BRITTANY CATHERINE DAWSON FNP-BC

Nurse Practitioner (Family)

345 BLACKSTONE BLVD, MEMORY AND AGING PROGRAM
PROVIDENCE, RI 02906

Providence County (401) 455-6403

CYNTHIA CHEN YANG MD

Psychiatry & Neurology (Psychiatry)

345 BLACKSTONE BLVD
PROVIDENCE, RI 02906

Providence County (401) 455-6373

DR. MICAH BENJAMIN DUGGINS-WARF MD

Psychiatry & Neurology (Psychiatry)

345 BLACKSTONE BLVD
PROVIDENCE, RI 02906

Providence County (716) 803-9249

KATHARINE ANNE PHILLIPS MD

Psychiatry & Neurology (Psychiatry)

345 BLACKSTONE BLVD
PROVIDENCE, RI 02906

Providence County (401) 455-6200

LISA BRAFF SHEA MD

Psychiatry & Neurology (Psychiatry)

345 BLACKSTONE BLVD
PROVIDENCE, RI 02906

Providence County (401) 455-6200

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 Andrew Fukuda's NPI number?

The NPI number for Andrew Fukuda is 1053806497. It was assigned to this individual provider in the NPPES registry on June 27, 2018.

Where is Andrew Fukuda located?

Andrew Fukuda practices at 345 Blackstone Blvd, Providence, RI 02906. The listed phone number is (401) 455-6346.

What is Andrew Fukuda's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Andrew Fukuda enrolled in Medicare?

Yes. Andrew Fukuda 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.

When was this NPI record last updated?

The NPPES record for Andrew Fukuda was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.