TOI SPATES
NPI 1194188615
Internal Medicine - Cardiovascular Disease in East Providence, RI

Q: What is Toi Spates's NPI number?

The NPI number for Toi Spates is 1194188615. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Q: What is Toi Spates's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Toi Spates was last updated on August 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 01, 2016PECOS EnrolledAccepts Medicare Assignment

950 WARREN AVE STE 201, EAST PROVIDENCE, RI 02914(401) 606-1004 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 8, 2024, Apr 1, 2016 (2 updates tracked since 2016).

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About Toi Spates NPPES

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

TOI SPATES (NPI 1194188615) is an individual cardiovascular disease provider in East Providence, Rhode Island, licensed in Rhode Island (MD19872) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Newport Hospital, and maintains a secondary practice location in Durham.

NPPES Registry Identity

NPI1194188615

Entity TypeIndividualFemale

Primary Taxonomy207RC0000X

Provider Legal NameTOI SPATES

Location Address950 WARREN AVE STE 201East Providence, RI 02914-1432

Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541 · (401) 444-6779

Phone(401) 606-1004

Sole ProprietorNo

Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2016

Enumeration DateApril 1, 2016

Last NPPES UpdateAugust 8, 20242 updates tracked since enumeration

NPPES CertifiedAugust 8, 2024

✔ NPI 1194188615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in RI · MD19872

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

950 WARREN AVE STE 201, East Providence, RI 02914

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Secondary Practice Location 1

Location 12301 Erwin RdDurham, NC 27705-4699 · Phone (919) 684-8111

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

Toi Spates 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 ID7416240882

PECOS Enrollment IDI20240916003213

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.

Areas of Expertise CMS Part B claims 8

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

98 services80 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

63 services63 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

50 services22 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

35 services35 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

25 services14 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

19 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Newport Hospital

Acute Care Hospitals · Newport, RI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410006

Location11 Friendship StreetNewport, RI 02840 · Newport County

Emergency services Birthing friendly

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence County

Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

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

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 10

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

DR. CAO THACH TRAN MD

Internal Medicine (Clinical Cardiac Electrophysiology)