GERARDO P CARINO MD
NPI 1205814357
Internal Medicine - Critical Care Medicine in Providence, RI

Active since January 07, 2006PECOS EnrolledAccepts Medicare Assignment
164 SUMMIT AVE, PROVIDENCE, RI 02906(401) 793-4501 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Gerardo P Carino Md NPPES

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

GERARDO P CARINO MD (NPI 1205814357) is an individual critical care medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD11676) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Emerson Hospital -, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1205814357
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameGERARDO P CARINOCredential: MD
Location Address164 SUMMIT AVEProvidence, RI 02906-2853
Mailing AddressPo Box 414695Boston, MA 02241-4695 · (401) 444-3239 · Fax (401) 444-6839
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJanuary 7, 2006
Last NPPES UpdateFebruary 23, 2026
NPPES CertifiedFebruary 23, 2026
✔ NPI 1205814357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in RI · MD11676
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License MD11676 (RI)
164 SUMMIT AVE, Providence, RI 02906

Other Identifiers 4

Other412786RI · Bluechip
Medicaid7057758RI
OtherAA33820RI · Hphc
Other29685-8RI · Bcbs Ri

Accepted Insurance

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

Gerardo P Carino 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 ID3971533563
PECOS Enrollment IDI20050813000228, I20160205001045
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

9

Medicare enrollment records show Gerardo Carino reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
164 SUMMIT AVE
Providence, RI 02906
  • Reassigned Medicare billing, Rhode Island enrollment
  • 47 clinicians in this Medicare group
Urology
195 COLLYER ST STE 201
Providence, RI 02904
  • Reassigned Medicare billing, Rhode Island enrollment
  • 1,372 clinicians in this Medicare group
Gastroenterology
235 PLAIN ST STE 201
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 256 clinicians in this Medicare group
Hospitalist
115 LINCOLN ST
Framingham, MA 01702
  • Reassigned Medicare billing, Massachusetts enrollment
  • 156 clinicians in this Medicare group
Anesthesiology
55 FOGG RD
Weymouth, MA 02190
  • Reassigned Medicare billing, Massachusetts enrollment
  • 671 clinicians in this Medicare group
Internal Medicine
133 OLD ROAD TO NINE ACRE CORNER
Concord, MA 01742
  • Reassigned Medicare billing, Massachusetts enrollment
  • 451 clinicians in this Medicare group
Emergency Medicine
81 HIGHLAND AVE
Salem, MA 01970
  • Reassigned Medicare billing, Massachusetts enrollment
  • 994 clinicians in this Medicare group
Internal Medicine
565 TURNPIKE ST STE 85
North Andover, MA 01845
  • Reassigned Medicare billing, Massachusetts enrollment
  • 57 clinicians in this Medicare group
Internal Medicine
565 TURNPIKE ST STE 85
North Andover, MA 01845
  • Reassigned Medicare billing, Massachusetts enrollment
  • 71 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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
188 services95 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.
58 services45 patients

Hospital Affiliations CMS Care Compare 4

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

Emerson Hospital -

Acute Care Hospitals · W Concord, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220084
Location133 Old Road To 9 Acre CornerW Concord, MA 01742 · Middlesex County
Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Worcester, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220176
Location123 Summer StreetWorcester, MA 01608 · Worcester 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 02906 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.

Nurse Practitioner (Family)
164 SUMMIT AVE, THE MIRIAM HOSPITAL
PROVIDENCE, RI 02906
Internal Medicine
164 SUMMIT AVE, FAIN BLDG.
PROVIDENCE, RI 02906
Internal Medicine (Cardiovascular Disease)
164 SUMMIT AVE, FAIN BLDG
PROVIDENCE, RI 02906
Social Worker (Clinical)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Internal Medicine (Cardiovascular Disease)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Internal Medicine
164 SUMMIT AVE
PROVIDENCE, RI 02906
Emergency Medicine
164 SUMMIT AVE
PROVIDENCE, RI 02906
Psychiatry & Neurology (Psychiatry)
164 SUMMIT AVE
PROVIDENCE, RI 02906

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 Gerardo Carino's NPI number?

The NPI number for Gerardo Carino is 1205814357. It was assigned to this individual provider in the NPPES registry on January 7, 2006.

Where is Gerardo Carino located?

Gerardo Carino practices at 164 Summit Ave, Providence, RI 02906. The listed phone number is (401) 793-4501.

What is Gerardo Carino's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Gerardo Carino enrolled in Medicare?

Yes. Gerardo Carino 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 Gerardo Carino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gerardo Carino reassigns Medicare benefits to 9 organizations: The Miriam Hospital (Providence, RI), Lifespan Physician Group Inc (Providence, RI), Brown Medicine (Providence, RI), Hospitalist Physicians Of Massachusetts PC (Framingham, MA), Coastal Medical Associates (Weymouth, MA) and 4 more organizations, listed in the Medicare section above. 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 Gerardo Carino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gerardo Carino accept?

Health plans from WellSense Health Plan list Gerardo Carino as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gerardo Carino affiliated with any hospitals?

According to CMS data, Gerardo Carino is affiliated with Emerson Hospital -, St Vincent Hospital, Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Gerardo Carino was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.