DR. KAREN R. SMIGEL MD
NPI 1114905528
Family Medicine in East Providence, RI

Q: What is Karen Smigel's NPI number?

The NPI number for Karen Smigel is 1114905528. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Q: What is Karen Smigel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Karen Smigel was last updated on April 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 05, 2006PECOS Enrolled

900 WARREN AVE STE 400, EAST PROVIDENCE, RI 02914(401) 331-1221(401) 751-8003 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 4, 2024, Jul 21, 2022, Jun 23, 2017 (3 updates tracked since 2017).

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About Dr. Karen R. Smigel Md NPPES

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

DR. KAREN R. SMIGEL MD (NPI 1114905528) is an individual family medicine provider in East Providence, Rhode Island, licensed in Rhode Island (MD08511) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114905528

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KAREN R. SMIGELCredential: MD

Location Address900 WARREN AVE STE 400East Providence, RI 02914-1430

Mailing AddressPo Box 229Wakefield, RI 02880-0229 · (401) 788-3929 · Fax (401) 788-3939

Phone(401) 331-1221

Fax(401) 751-8003

Sole ProprietorNo

Enumeration DateJanuary 5, 2006

Last NPPES UpdateApril 4, 20243 updates tracked since enumeration

NPPES CertifiedApril 4, 2024

✔ NPI 1114905528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in RI · MD08511

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

900 WARREN AVE STE 400, East Providence, RI 02914

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Other Identifiers 1

Medicaid1114905528RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Karen R. Smigel 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02914 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

9 suppliers18 claims45 services$4.71 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers14 claims14 services$0.89 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier13 claims13 services$57.58 avg. paid by Medicare

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

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Other Providers at the Same Location NPPES 13

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

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