DR. CAROLINA CEREZO MD
NPI 1073596011
Pediatrics - Pediatric Gastroenterology in Providence, RI
About Dr. Carolina Cerezo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CAROLINA CEREZO MD (NPI 1073596011) is an individual pediatric gastroenterology provider in Providence, Rhode Island, licensed in Rhode Island (MD11132) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and maintains a secondary practice location in Fall River.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
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. Carolina Cerezo 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 Reassignments
2Medicare enrollment records show Carolina Cerezo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Providence, RI 02903
- Reassigned Medicare billing, Massachusetts enrollment
- 55 clinicians in this Medicare group
Providence, RI 02903
- Reassigned Medicare billing, Rhode Island enrollment
- 265 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.
Rhode Island Hospital
Acute Care Hospitals · Providence, RIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02903 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 02903
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
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 Carolina Cerezo's NPI number?
The NPI number for Carolina Cerezo is 1073596011. It was assigned to this individual provider in the NPPES registry on November 23, 2005.
Where is Carolina Cerezo located?
Carolina Cerezo practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-2827.
What is Carolina Cerezo's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.
Is Carolina Cerezo enrolled in Medicare?
Yes. Carolina Cerezo 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 Carolina Cerezo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carolina Cerezo reassigns Medicare benefits to 2 organizations: Lifespan Physician Group, Inc. (Providence, RI) and Rhode Island Hospital (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 Carolina Cerezo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carolina Cerezo accept?
Health plans from Anthem Blue Cross and Blue Shield list Carolina Cerezo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Carolina Cerezo affiliated with any hospitals?
According to CMS data, Carolina Cerezo is affiliated with Rhode Island Hospital.
When was this NPI record last updated?
The NPPES record for Carolina Cerezo was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Carolina Cerezo, MD · NPI 1073596011
Pediatric Gastroenterology physician in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since November 23, 2005.
## Identity
- **NPI:** 1073596011 (Entity type: Individual)
- **Enumerated:** November 23, 2005
- **Primary specialty:** Pediatrics - Pediatric Gastroenterology · taxonomy 2080P0206X
- **State license:** MD11132 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 593 EDDY ST, Providence, RI 02903-4923
- **Phone:** (401) 444-2827 · **Fax:** (401) 444-8748
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Lifespan Physician Group, Inc. (NPI 1407116643, Providence, RI); Rhode Island Hospital (NPI 1861420333, Providence, RI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1991
## Record status
- **NPPES last updated:** May 18, 2026
- **Other identifiers:** Medicaid 7010598 (RI)
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Source: [NPI Profile](https://npiprofile.com/npi/1073596011) · Data from the CMS NPPES public registry.