PAUL BREIDING MD
NPI 1073567343
Internal Medicine in Providence, RI

Q: What is Paul Breiding's NPI number?

The NPI number for Paul Breiding is 1073567343. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Q: What is Paul Breiding's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Breiding was last updated on August 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 May 20, 2006PECOS EnrolledAccepts Medicare Assignment

909 N MAIN ST, SUITE 300, PROVIDENCE, RI 02904(401) 273-4064(401) 273-1268 Get Directions Write a Review

NPPES record last updated: August 5, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Paul Breiding Md NPPES

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

PAUL BREIDING MD (NPI 1073567343) is an individual internal medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD10116) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and is a graduate of Warren Alpert Medical School Of Brown University (1996).

NPPES Registry Identity

NPI1073567343

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NamePAUL BREIDINGCredential: MD

Location Address909 N MAIN ST, SUITE 300Providence, RI 02904-5752

Mailing AddressPo Box 1358Providence, RI 02901-1358

Phone(401) 273-4064

Fax(401) 273-1268

Sole ProprietorNo

Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1996

Enumeration DateMay 20, 2006

Last NPPES UpdateAugust 5, 2008

✔ NPI 1073567343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in RI · MD10116

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

909 N MAIN ST, Providence, RI 02904

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Other Identifiers 3

Medicaid9022501RI

Other110230668RI · Railroad Medicare

Medicare PIN007056338RI

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

Paul Breiding 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 ID547244170

PECOS Enrollment IDI20040614000369

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 Reassignments

Medicare enrollment records show Paul Breiding reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Coastal Medical Physicians, Inc.

1.6 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

Brown Medicine

2.5 mi

Gastroenterology

235 PLAIN ST STE 201
Providence, RI 02905

Reassigned Medicare billing, Rhode Island enrollment
256 clinicians in this Medicare group

NPI 1730827767 (401) 861-8830

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

566 services294 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

258 services258 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

208 services145 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

60 services60 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

38 services31 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

34 services34 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220074

Location363 Highland AvenueFall River, MA 02720 · Bristol County

Emergency services Birthing friendly

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

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI

3/5 CMS rating

OwnershipProprietary

CMS Certification Number410009

Location455 Toll Gate RdWarwick, RI 02886 · Kent County

Emergency services Birthing friendly

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410010

Location101 Dudley StreetProvidence, RI 02905 · Providence County

Emergency services Birthing friendly

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

$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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

10 suppliers19 claims43 services$6.91 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

DR. JEAN F SMITH MD

Internal Medicine

909 N MAIN ST, SUITE B-1
PROVIDENCE, RI 02904

Providence County (401) 521-2002

JAMES C SULLIVAN MD

Internal Medicine

909 N MAIN ST, SUITE 300
PROVIDENCE, RI 02904

Providence County (401) 273-4064

CARESS DENTAL, INC.

Dentist (General Practice)

909 N MAIN ST
PROVIDENCE, RI 02904

Providence County (401) 272-1238

DR. ELIZEU S. LIMA DMD

Dentist (General Practice)

909 N MAIN ST
PROVIDENCE, RI 02904

Providence County (401) 272-1238

JENNIFER L MAUDE MD

Internal Medicine

909 N MAIN ST, SUITE 300
PROVIDENCE, RI 02904

Providence County (401) 273-4064

STEVEN A MALLOZZI MD

Internal Medicine

909 N MAIN ST, SUITE 300
PROVIDENCE, RI 02904

Providence County (401) 273-4064

WARREN E LICHT MD

Internal Medicine

909 N MAIN ST, SUITE 300
PROVIDENCE, RI 02904

Providence County (401) 273-4064

MRS. NICOLE MARIE GARDELLA RNP

Nurse Practitioner

909 N MAIN ST
PROVIDENCE, RI 02904

Providence County (401) 273-4064

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 Paul Breiding's NPI number?

The NPI number for Paul Breiding is 1073567343. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Paul Breiding located?

Paul Breiding practices at 909 N Main St Suite 300, Providence, RI 02904. The listed phone number is (401) 273-4064.

What is Paul Breiding's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Paul Breiding enrolled in Medicare?

Yes. Paul Breiding 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 organizations bill Medicare for Paul Breiding's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Breiding reassigns Medicare benefits to 2 organizations: Coastal Medical Physicians, Inc. (Providence, RI) and Brown Medicine (Providence, RI). Each 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 Paul Breiding's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Paul Breiding affiliated with any hospitals?

According to CMS data, Paul Breiding is affiliated with Southcoast Hospitals Group, Rhode Island Hospital, Kent County Memorial Hospital, Women & Infants Hospital Of Rhode Island and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Paul Breiding was last updated on August 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.