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VIDYA GOPINATH M.D.
NPI 1093193401
Internal Medicine in Riverside, RI

Active since May 18, 2015PECOS EnrolledAccepts Medicare Assignment
375 WAMPANOAG TRL STE 301, RIVERSIDE, RI 02915(401) 649-4050(401) 649-4051 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vidya Gopinath M.d. NPPES

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

VIDYA GOPINATH M.D. (NPI 1093193401) is an individual internal medicine provider in Riverside, Rhode Island, licensed in Rhode Island (MD16315) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1093193401
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameVIDYA GOPINATHCredential: M.D.
Location Address375 WAMPANOAG TRL STE 301Riverside, RI 02915
Mailing Address110 Elm StProvidence, RI 02903-4626 · (877) 771-7401
Phone(401) 649-4050
Fax(401) 649-4051
Sole ProprietorYes
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2015
Enumeration DateMay 18, 2015
Last NPPES UpdateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
✔ NPI 1093193401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in RI · MD16315✔ Licensed in RI · LP03446
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.
375 WAMPANOAG TRL STE 301, Riverside, RI 02915
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Secondary Practice Location 1

Location 1593 Eddy StProvidence, RI 02903-4923 · Phone (401) 444-4741 · Fax (401) 444-4445

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

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

Vidya Gopinath M.d. 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 ID7911213707
PECOS Enrollment IDI20230929003387
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 4

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.
128 services83 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.
46 services42 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.
28 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02915 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.

Other Providers at the Same Location NPPES 3

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

MASSIEL JIMENEZ MD
Internal Medicine (Rheumatology)
375 WAMPANOAG TRL STE 301
RIVERSIDE, RI 02915
Providence County (401) 649-4050
DR. ALISHA CROWLEY M.D.
Internal Medicine
375 WAMPANOAG TRL STE 301
RIVERSIDE, RI 02915
Providence County (401) 649-4050
DR. MICHELLE BREDA M.D.
Internal Medicine
375 WAMPANOAG TRL STE 301
RIVERSIDE, RI 02915
Providence County (401) 649-4050

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 Vidya Gopinath's NPI number?

The NPI number for Vidya Gopinath is 1093193401. It was assigned to this individual provider in the NPPES registry on May 18, 2015.

Where is Vidya Gopinath located?

Vidya Gopinath practices at 375 Wampanoag Trl Ste 301, Riverside, RI 02915. The listed phone number is (401) 649-4050.

What is Vidya Gopinath's specialty?

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

Is Vidya Gopinath enrolled in Medicare?

Yes. Vidya Gopinath 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.

What insurance does Vidya Gopinath accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Vidya Gopinath 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 Vidya Gopinath affiliated with any hospitals?

According to CMS data, Vidya Gopinath is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Vidya Gopinath was last updated on January 30, 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.