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HARAN ASHER MENNILLO MD
NPI 1073190187
Pediatrics in Warwick, RI

Active since March 25, 2021PECOS Enrolled
176 TOLL GATE RD STE 101, WARWICK, RI 02886(401) 737-9240(401) 739-6413 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 20, 2024, Mar 25, 2021 (2 updates tracked since 2021).

About Haran Asher Mennillo Md NPPES

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

HARAN ASHER MENNILLO MD (NPI 1073190187) is an individual pediatrics provider in Warwick, Rhode Island, licensed in Rhode Island (MD19794) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073190187
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameHARAN ASHER MENNILLOCredential: MD
Location Address176 TOLL GATE RD STE 101Warwick, RI 02886-4479
Mailing Address176 Toll Gate Rd Ste 101Warwick, RI 02886-4479 · (401) 737-9240 · Fax (401) 739-6413
Phone(401) 737-9240
Fax(401) 739-6413
Sole ProprietorNo
Enumeration DateMarch 25, 2021
Last NPPES UpdateJune 20, 20242 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1073190187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in RI · MD19794
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
176 TOLL GATE RD STE 101, Warwick, RI 02886
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haran Asher Mennillo Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Haran Mennillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Coastal Medical Physicians, Inc.
8.9 mi
Internal Medicine
15 LASALLE SQUARE
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 268 clinicians in this Medicare group
NPI 1780273540 (401) 444-4383

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 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
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 4

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

JULIANA MARIE VINCENT MD
Pediatrics
176 TOLL GATE RD STE 101
WARWICK, RI 02886
Kent County (401) 737-9240
MAUREEN LYNNE MCKENNA M.D.
Pediatrics
176 TOLL GATE RD STE 101
WARWICK, RI 02886
Kent County (401) 737-9240
DR. MARY HELEN LANNING COUGHENOUR MD
Pediatrics
176 TOLL GATE RD STE 101
WARWICK, RI 02886
Kent County (401) 737-9240
JILLIAN HENRY N.P.
Nurse Practitioner
176 TOLL GATE RD STE 101
WARWICK, RI 02886
Kent County (401) 737-9240

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 Haran Mennillo's NPI number?

The NPI number for Haran Mennillo is 1073190187. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Haran Mennillo located?

Haran Mennillo practices at 176 Toll Gate Rd Ste 101, Warwick, RI 02886. The listed phone number is (401) 737-9240.

What is Haran Mennillo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Haran Mennillo enrolled in Medicare?

Yes. Haran Mennillo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Haran Mennillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haran Mennillo reassigns Medicare benefits to Coastal Medical Physicians, 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 Haran Mennillo'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 Haran Mennillo was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.