Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TAMARA KORITAROV DO
NPI 1194286799
Internal Medicine - Gastroenterology in Warwick, RI

Q: What is Tamara Koritarov's NPI number?

The NPI number for Tamara Koritarov is 1194286799. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Q: What is Tamara Koritarov's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Tamara Koritarov was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.

Active since March 26, 2019PECOS Enrolled

455 TOLL GATE RD, WARWICK, RI 02886(401) 737-7010 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tamara Koritarov Do NPPES

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

TAMARA KORITAROV DO (NPI 1194286799) is an individual gastroenterology provider in Warwick, Rhode Island, licensed in Rhode Island (DO01191) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1194286799

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameTAMARA KORITAROVCredential: DO

Location Address455 TOLL GATE RDWarwick, RI 02886-2770

Mailing Address455 Toll Gate RdWarwick, RI 02886-2770 · (401) 737-7010

Phone(401) 737-7010

Sole ProprietorNo

Enumeration DateMarch 26, 2019

Last NPPES UpdateJune 25, 2026

NPPES CertifiedJune 25, 2026

✔ NPI 1194286799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in RI · DO01191

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License LP04714 (RI)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

455 TOLL GATE RD, Warwick, RI 02886

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Secondary Practice Locations 4

Location 1455 Toll Gate RD ASP BldWarwick, RI 02886 · Phone (401) 738-6611

Location 2100 Dudley St Fl 3Providence, RI 02905-3233 · Phone (401) 453-7953

Location 3101 Dudley StProvidence, RI 02905-2401 · Phone (401) 274-1122

Location 41050 Main StEast Greenwich, RI 02818-3161 · Phone (401) 453-7953

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tamara Koritarov Do 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 02886 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

$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.

DR. STERLING LEAF MALISH M.D.

Internal Medicine