DR. KATHLEEN ANN O'HEELAN DO
NPI 1174513451
Family Medicine in Providence, RI

Active since October 26, 2005PECOS EnrolledAccepts Medicare Assignment
355 PRAIRIE AVE, PROVIDENCE, RI 02905(401) 415-9000 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kathleen Ann O'heelan Do NPPES

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

DR. KATHLEEN ANN O'HEELAN DO (NPI 1174513451) is an individual family medicine provider in Providence, Rhode Island, licensed in Rhode Island (DO00601) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1174513451
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KATHLEEN ANN O'HEELANCredential: DO
Location Address355 PRAIRIE AVEProvidence, RI 02905-1928
Mailing Address375 Allens AveProvidence, RI 02905-5010 · (401) 444-0400
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateOctober 26, 2005
Last NPPES UpdateDecember 28, 2023
NPPES CertifiedDecember 28, 2023
NPI 1174513451 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 · DO00601
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.
355 PRAIRIE AVE, Providence, RI 02905

Other Identifiers 1

Medicaid1174513451RI

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

Dr. Kathleen Ann O'heelan Do 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 ID7810921285
PECOS Enrollment IDI20050924000274
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 02905 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 2

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
7 suppliers23 claims60 services$6.62 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers17 claims17 services$1.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Counselor
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Counselor (Mental Health)
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Counselor
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Counselor
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Pediatrics
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Internal Medicine
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Registered Nurse (Diabetes Educator)
355 PRAIRIE AVE
PROVIDENCE, RI 02905

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 Kathleen O'heelan's NPI number?

The NPI number for Kathleen O'heelan is 1174513451. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Kathleen O'heelan located?

Kathleen O'heelan practices at 355 Prairie Ave, Providence, RI 02905. The listed phone number is (401) 415-9000.

What is Kathleen O'heelan's specialty?

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

Is Kathleen O'heelan enrolled in Medicare?

Yes. Kathleen O'heelan 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.

When was this NPI record last updated?

The NPPES record for Kathleen O'heelan was last updated on December 28, 2023. 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.