1. Home
  2. Directory
  3. Rhode Island
  4. Woonsocket
  5. Pediatrics
  6. NPI Profile

DAVID M BOURASSA M.D.
NPI 1215992870
Pediatrics in Woonsocket, RI

Active since April 18, 2006PECOS Enrolled
450 CLINTON STREET, WOONSOCKET, RI 02895(401) 767-4100(401) 235-6894 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David M Bourassa M.d. NPPES

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

DAVID M BOURASSA M.D. (NPI 1215992870) is an individual pediatrics provider in Woonsocket, Rhode Island, licensed in Rhode Island (MD09354) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1215992870
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDAVID M BOURASSACredential: M.D.
Location Address450 CLINTON STREETWoonsocket, RI 02895
Mailing Address171 Service AvenueWarwick, RI 02886 · (401) 767-4100 · Fax (401) 235-6899
Phone(401) 767-4100
Fax(401) 235-6894
Sole ProprietorNo
Enumeration DateApril 18, 2006
Last NPPES UpdateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
✔ NPI 1215992870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in RI · MD09354
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
450 CLINTON STREET, Woonsocket, RI 02895
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1186 Providence StWest Warwick, RI 02893-2508 · Phone (401) 767-4100
Location 2360 Kingstown RdNarragansett, RI 02882-3258 · Phone (401) 789-6492
Location 31 River StWakefield, RI 02879-3214 · Phone (401) 767-4100

Other Identifiers 1

Medicaid7005698RI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David M Bourassa M.d. 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 02895 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.

Other Providers at the Same Location NPPES 3

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

CHERYL M DONOVAN CNM
Midwife
450 CLINTON STREET, THUNDERMIST HEALTH CENTER
WOONSOCKET, RI 02895
Providence County (401) 767-4100
PAULA J ANTONELLIS RPH
Pharmacist
450 CLINTON STREET
WOONSOCKET, RI 02895
Providence County (401) 767-4100
SYED R MEHDI MD
Internal Medicine
450 CLINTON STREET, THUNDERMIST HEALTH CENTER
WOONSOCKET, RI 02895
Providence County (401) 767-4100

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 David Bourassa's NPI number?

The NPI number for David Bourassa is 1215992870. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is David Bourassa located?

David Bourassa practices at 450 Clinton Street, Woonsocket, RI 02895. The listed phone number is (401) 767-4100.

What is David Bourassa's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is David Bourassa enrolled in Medicare?

Yes. David Bourassa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Bourassa was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.