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AGNIESZKA KENDALL MD
NPI 1104837780
Pediatrics in South Kingstown, RI

Active since August 10, 2006PECOS Enrolled
65 VILLAGE SQUARE DR STE 101, SOUTH KINGSTOWN, RI 02879(401) 789-5924(401) 782-1770 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 9, 2024, Dec 20, 2018 (2 updates tracked since 2018).

About Agnieszka Kendall Md NPPES

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

AGNIESZKA KENDALL MD (NPI 1104837780) is an individual pediatrics provider in South Kingstown, Rhode Island, licensed in Rhode Island (MD15868) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104837780
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameAGNIESZKA KENDALLCredential: MD
Location Address65 VILLAGE SQUARE DR STE 101South Kingstown, RI 02879-2292
Mailing Address10 Davol Sq Ste 400Providence, RI 02903-4760 · (401) 421-4000 · Fax (401) 272-1456
Phone(401) 789-5924
Fax(401) 782-1770
Sole ProprietorNo
Enumeration DateAugust 10, 2006
Last NPPES UpdateApril 9, 20242 updates tracked since enumeration
NPPES CertifiedApril 9, 2024
✔ NPI 1104837780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in RI · MD15868
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.
65 VILLAGE SQUARE DR STE 101, South Kingstown, RI 02879
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Other Identifiers 1

Medicaid1104837780RI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Agnieszka Kendall 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 Agnieszka Kendall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Coastal Medical Physicians, Inc.
24 mi
Internal Medicine
375 WAMPANOAG TRL
Riverside, RI 02915
  • Reassigned Medicare billing, Rhode Island enrollment
  • 268 clinicians in this Medicare group
NPI 1093678104 (401) 649-4000

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 02879 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.

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 Agnieszka Kendall's NPI number?

The NPI number for Agnieszka Kendall is 1104837780. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Agnieszka Kendall located?

Agnieszka Kendall practices at 65 Village Square Dr Ste 101, South Kingstown, RI 02879. The listed phone number is (401) 789-5924.

What is Agnieszka Kendall's specialty?

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

Is Agnieszka Kendall enrolled in Medicare?

Yes. Agnieszka Kendall is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Agnieszka Kendall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Agnieszka Kendall reassigns Medicare benefits to Coastal Medical Physicians, Inc. (Riverside, 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 Agnieszka Kendall'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 Agnieszka Kendall was last updated on April 9, 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.