DR. ETHAN H KISCH M.D.
NPI 1063480002
Psychiatry & Neurology - Psychiatry in Warwick, RI

Q: What is Ethan Kisch's NPI number?

The NPI number for Ethan Kisch is 1063480002. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Q: What is Ethan Kisch'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 Ethan Kisch was last updated on June 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 March 08, 2006PECOS Enrolled

75 LAMBERT LIND HWY, 120-100, WARWICK, RI 02886(401) 681-4274(401) 681-4285 Get Directions Write a Review

NPPES record last updated: June 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Ethan H Kisch M.d. NPPES

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

DR. ETHAN H KISCH M.D. (NPI 1063480002) is an individual psychiatry provider in Warwick, Rhode Island, licensed in Rhode Island (MD10208) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063480002

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. ETHAN H KISCHCredential: M.D.

Location Address75 LAMBERT LIND HWY, 120-100Warwick, RI 02886-1131

Mailing Address75 Lambert Lind Hwy, 120-100Warwick, RI 02886-1131 · (401) 681-4274 · Fax (401) 681-4285

Phone(401) 681-4274

Fax(401) 681-4285

Sole ProprietorNo

Enumeration DateMarch 8, 2006

Last NPPES UpdateJune 12, 2013

✔ NPI 1063480002 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 · MD10208

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.

75 LAMBERT LIND HWY, Warwick, RI 02886

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Other Identifiers 2

Medicare UPIN007059515RI

Medicare ID-Type Unspecified269004146RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ethan H Kisch M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02886 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.

GREGORY CHARPENTIER

Counselor (Mental Health)