RADOWAN ALI MAHGOUB ELNAIR MD
NPI 1124479811
Internal Medicine - Hematology in Providence, RI

Active since June 24, 2016PECOS EnrolledAccepts Medicare Assignment
825 CHALKSTONE AVE, PROVIDENCE, RI 02908(401) 456-6565 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 3, 2026, Sep 23, 2022, Jun 24, 2016 (3 updates tracked since 2016).

About Radowan Ali Mahgoub Elnair Md NPPES

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

RADOWAN ALI MAHGOUB ELNAIR MD (NPI 1124479811) is an individual hematology provider in Providence, Rhode Island, licensed in Rhode Island (MD19360) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Roger Williams Medical Center, and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1124479811
Entity TypeIndividualMale
Primary Taxonomy207RH0000X
Provider Legal NameRADOWAN ALI MAHGOUB ELNAIRCredential: MD
Location Address825 CHALKSTONE AVEProvidence, RI 02908-4728
Mailing Address200 1st St SwRochester, MN 55905-0002 · (507) 284-2511 · Fax (507) 266-4972
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 24, 2016
Last NPPES UpdateApril 3, 20263 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
✔ NPI 1124479811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License✔ Licensed in RI · MD19360
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License MD19360 (RI)
825 CHALKSTONE AVE, Providence, RI 02908

Secondary Practice Location 1

Location 150 Maude StProvidence, RI 02908-4325 · Phone (401) 456-2077

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

Radowan Ali Mahgoub Elnair 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.

PECOS PAC ID6204123961
PECOS Enrollment IDI20230724000751, I20260603000910
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 Reassignments

3

Medicare enrollment records show Radowan Elnair reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
825 CHALKSTONE AVE
Providence, RI 02908
  • Reassigned Medicare billing, Rhode Island enrollment
  • 96 clinicians in this Medicare group
Internal Medicine
825 CHALKSTONE AVE
Providence, RI 02908
  • Reassigned Medicare billing, Rhode Island enrollment
  • 162 clinicians in this Medicare group
Medical Oncology
14200 CELEBRATE LIFE WAY
Goodyear, AZ 85338
  • Reassigned Medicare billing, Arizona enrollment
  • 359 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.

Areas of Expertise CMS Part B claims

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.
24 services12 patients

Hospital Affiliations CMS Care Compare

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

Roger Williams Medical Center

Acute Care Hospitals · Providence, RI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number410004
Location825 Chalkstone AvenueProvidence, RI 02908 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02908 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
$177.03 typical visit price
range $58.57 – $177.03
Typical copayment $44.25 (range $14.64 – $44.25)
Most-billed visit code 99205
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 20

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

Internal Medicine (Medical Oncology)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Anesthesiology
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Emergency Medicine
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
General Acute Care Hospital
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Pathology (Anatomic Pathology)
825 CHALKSTONE AVE, ROGER WILLIAMS MEDICAL CENTER/PATHOLOGY DEPT.
PROVIDENCE, RI 02908
Nurse Anesthetist, Certified Registered
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Social Worker (Clinical)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Internal Medicine
825 CHALKSTONE AVE
PROVIDENCE, RI 02908

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 Radowan Elnair's NPI number?

The NPI number for Radowan Elnair is 1124479811. It was assigned to this individual provider in the NPPES registry on June 24, 2016.

Where is Radowan Elnair located?

Radowan Elnair practices at 825 Chalkstone Ave, Providence, RI 02908. The listed phone number is (401) 456-6565.

What is Radowan Elnair's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Radowan Elnair enrolled in Medicare?

Yes. Radowan Elnair 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 Radowan Elnair's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Radowan Elnair reassigns Medicare benefits to 3 organizations: Chartercare Roger Williams Medical Center (Providence, RI), Prospect Chartercare Rwmc, LLC (Providence, RI) and City Of Hope Medical Group Of Arizona LLC (Goodyear, AZ). 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 Radowan Elnair's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Radowan Elnair affiliated with any hospitals?

According to CMS data, Radowan Elnair is affiliated with Roger Williams Medical Center.

When was this NPI record last updated?

The NPPES record for Radowan Elnair was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.