DR. ERNESTO A MIRABAL MD
NPI 1215953377
Internal Medicine in Central Falls, RI

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
1002 BROAD ST STE 1, CENTRAL FALLS, RI 02863(401) 226-8716 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Ernesto A Mirabal Md NPPES

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

DR. ERNESTO A MIRABAL MD (NPI 1215953377) is an individual internal medicine provider in Central Falls, Rhode Island, licensed in Rhode Island (MD11356) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other.

NPPES Registry Identity

NPI1215953377
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ERNESTO A MIRABALCredential: MD
Location Address1002 BROAD ST STE 1Central Falls, RI 02863-1510
Mailing Address54 Belvedere DrCranston, RI 02920-4504 · (401) 785-1459
Sole ProprietorNo
Medical School CMSOther
Enumeration DateJuly 14, 2006
Last NPPES UpdateApril 2, 2026
NPPES CertifiedApril 2, 2026
✔ NPI 1215953377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in RI · MD11356
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1002 BROAD ST STE 1, Central Falls, RI 02863

Secondary Practice Locations 2

Location 1100 Crossing Blvd Ste 300Framingham, MA 01702-5555 · Phone (888) 964-6681
Location 2964 Broad StreetCentral Falls, RI 02863 · Phone (401) 722-0081 · Fax (401) 724-2109

Other Identifiers 1

Medicaid9003647RI

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

Dr. Ernesto A Mirabal 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 ID1658331871
PECOS Enrollment IDI20041013000002
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

4

Medicare enrollment records show Ernesto Mirabal reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1002 BROAD ST STE 1
Central Falls, RI 02863
  • Reassigned Medicare billing, Rhode Island enrollment
  • Medicare enrollment name: Ernesto Mirabal MD LLC
Geriatric Medicine
100 CROSSING BLVD STE 300
Framingham, MA 01702
  • Reassigned Medicare billing, Rhode Island enrollment
  • 52 clinicians in this Medicare group
Nurse Practitioner
100 CROSSING BLVD
Framingham, MA 01702
  • Reassigned Medicare billing, Rhode Island enrollment
  • 53 clinicians in this Medicare group
Nurse Practitioner
6700 ALEXANDER BELL DR STE 200
Columbia, MD 21046
  • Reassigned Medicare billing, Rhode Island enrollment
  • 52 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02863 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

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

Internal Medicine
1002 BROAD ST STE 1
CENTRAL FALLS, RI 02863

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 Ernesto Mirabal's NPI number?

The NPI number for Ernesto Mirabal is 1215953377. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Ernesto Mirabal located?

Ernesto Mirabal practices at 1002 Broad St Ste 1, Central Falls, RI 02863. The listed phone number is (401) 226-8716.

What is Ernesto Mirabal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ernesto Mirabal enrolled in Medicare?

Yes. Ernesto Mirabal 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 Ernesto Mirabal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ernesto Mirabal reassigns Medicare benefits to 4 organizations: Ernesto Mirabal, M.D., LLC (Central Falls, RI), Value Based Long Term Care H PC (Framingham, MA), Hdc Care Solutions, LLC (Framingham, MA) and Healthdrive Medical Services Southeast LLC (Columbia, MD). 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 Ernesto Mirabal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ernesto Mirabal was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.