BROWN MEDICINE
NPI 1104564137
Internal Medicine - Endocrinology, Diabetes & Metabolism in Riverside, RI
About Brown Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROWN MEDICINE (NPI 1104564137) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Riverside, Rhode Island and active in the NPI registry since May 2022. The organization holds 2 active CLIA laboratory certificates and lists Donna Gordon, Rcm Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 9
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brown Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
256Medicare enrollment records show 256 clinicians reassign Medicare billing to Brown Medicine, which bills Medicare for the services they deliver. Of these, 107 practice at this address and 235 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 18
Nearest to this location (20)
See all 256Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 41D0946559
Brown Medicine Kidney Disease And Hypertension · East Providence, RICertificate of Waiver 41D2133421
Brown Medicine Endocrinology · East Providence, RIFrequently 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 Brown Medicine's NPI number?
The NPI number for Brown Medicine is 1104564137. It was assigned to this organization in the NPPES registry on May 20, 2022.
Where is Brown Medicine located?
Brown Medicine is located at 375 Wampanoag Trl, Riverside, RI 02915. The listed phone number is (401) 444-7793.
What is Brown Medicine's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.
Is Brown Medicine enrolled in Medicare?
Yes. Brown Medicine is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Brown Medicine?
According to the CMS Revalidation Reassignment List (October 2026 release), 256 clinicians in 18 Medicare specialties reassign their Medicare billing to Brown Medicine. A 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 the clinician's services. The largest specialties are Internal Medicine (97), Infectious Disease (31) and Pulmonary Disease (29). Of these, 107 practice at this address and 235 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Brown Medicine hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Brown Medicine was last updated on February 14, 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.
# Brown Medicine · NPI 1104564137
Endocrinology, Diabetes & Metabolism organization in Riverside, Rhode Island. Organization record, active in the CMS NPPES registry since May 20, 2022.
## Identity
- **NPI:** 1104564137 (Entity type: Organization)
- **Enumerated:** May 20, 2022
- **Primary specialty:** Internal Medicine - Endocrinology, Diabetes & Metabolism · taxonomy 207RE0101X
- **Organization subpart:** No
- **Authorized official:** Donna Gordon, RCM DIRECTOR
## Practice location
- **Address:** 375 WAMPANOAG TRL, Riverside, RI 02915-2232
- **Phone:** (401) 444-7793
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 256 clinicians in 18 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (97), Infectious Disease (31), Pulmonary Disease (29); 107 practice at this address and 235 within 10 miles; [full list](https://npiprofile.com/npi/1104564137/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 14, 2024
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104564137) · Data from the CMS NPPES public registry.