JOHN N GAITANIS MD
NPI 1225065394
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Providence, RI
About John N Gaitanis Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN N GAITANIS MD (NPI 1225065394) is an individual neurology with special qualifications in child neurology provider in Providence, Rhode Island, licensed in Rhode Island (MD11298) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
John N Gaitanis 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.
Medicare Billing Reassignments
7Medicare enrollment records show John Gaitanis reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Providence, RI 02903
- Reassigned Medicare billing, Rhode Island enrollment
- 1,372 clinicians in this Medicare group
Providence, RI 02903
- Reassigned Medicare billing, Rhode Island enrollment
- 265 clinicians in this Medicare group
Providence, RI 02905
- Reassigned Medicare billing, Massachusetts and Rhode Island enrollments
- 3 clinicians in this Medicare group
Greenwood Village, CO 80111
- Reassigned Medicare billing, Colorado and Rhode Island enrollments
- 110 clinicians in this Medicare group
Greenwood Vlg, CO 80111
- Reassigned Medicare billing, Texas enrollment
- 71 clinicians in this Medicare group
Englewood, CO 80113
- Reassigned Medicare billing, Colorado enrollment
- 43 clinicians in this Medicare group
Woodburn, OR 97071
- Reassigned Medicare billing, Oregon enrollment
- 625 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Methodist Hospital
Acute Care Hospitals · San Antonio, TXMethodist Hospital Stone Oak
Acute Care Hospitals · San Antonio, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
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 John Gaitanis's NPI number?
The NPI number for John Gaitanis is 1225065394. It was assigned to this individual provider in the NPPES registry on June 26, 2006.
Where is John Gaitanis located?
John Gaitanis practices at 593 Eddy St George Building, Providence, RI 02903. The listed phone number is (401) 444-4000.
What is John Gaitanis's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.
Is John Gaitanis enrolled in Medicare?
Yes. John Gaitanis 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 John Gaitanis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Gaitanis reassigns Medicare benefits to 7 organizations: Lifespan Physician Group, Inc. (Providence, RI), Rhode Island Hospital (Providence, RI), Precision Neurology Associates PLLC (Providence, RI), Blue Sky Telehealth, LLC (Greenwood Village, CO), Carepoint Inpatient Blue Sky Neurology - Texas, PLLC (Greenwood Vlg, CO) and 2 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 John Gaitanis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Gaitanis accept?
Health plans from Anthem Blue Cross and Blue Shield and Taro Health list John Gaitanis 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 John Gaitanis affiliated with any hospitals?
According to CMS data, John Gaitanis is affiliated with Methodist Hospital and Methodist Hospital Stone Oak.
When was this NPI record last updated?
The NPPES record for John Gaitanis was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# John N Gaitanis, MD · NPI 1225065394
Neurology with Special Qualifications in Child Neurology physician in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since June 26, 2006.
## Identity
- **NPI:** 1225065394 (Entity type: Individual)
- **Enumerated:** June 26, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology · taxonomy 2084N0402X
- **State license:** MD11298 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 593 EDDY ST, GEORGE BUILDING, Providence, RI 02903-4923
- **Phone:** (401) 444-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Lifespan Physician Group, Inc. (NPI 1407116643, Providence, RI); Rhode Island Hospital (NPI 1861420333, Providence, RI); Precision Neurology Associates PLLC (NPI 1053101238, Providence, RI); Blue Sky Telehealth, LLC (NPI 1649886458, Greenwood Village, CO); Carepoint Inpatient Blue Sky Neurology - Texas, PLLC (NPI 1952908725, Greenwood Vlg, CO); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** August 11, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1225065394) · Data from the CMS NPPES public registry.