OUR LADY OF FATIMA HOSPITAL
NPI 1255160115
Internal Medicine - Cardiovascular Disease in North Providence, RI

Active since July 30, 2024CLIA 41D0083792 · Accreditation
200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI 02904(401) 456-3000(401) 456-3028 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Our Lady Of Fatima Hospital NPPES

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

OUR LADY OF FATIMA HOSPITAL (NPI 1255160115) is a healthcare organization registered as a cardiovascular disease in North Providence, Rhode Island and active in the NPI registry since July 2024. The organization holds an CLIA Accreditation certificate valid through April 27, 2027 and lists Jeffrey Liebman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255160115
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameCHARTERCARE OUR LADY OF FATIMA HOSPITAL
Location Address200 HIGH SERVICE AVENorth Providence, RI 02904-5113
Mailing Address200 High Service AveNorth Providence, RI 02904-5113 · (401) 456-3000 · Fax (401) 456-3028
Fax(401) 456-3028
Organization SubpartNo
Authorized OfficialJeffrey LiebmanCeo · (401) 456-2001
Enumeration DateJuly 30, 2024
Last NPPES UpdateJuly 31, 2024
NPPES CertifiedJuly 31, 2024
✔ NPI 1255160115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X
200 HIGH SERVICE AVE, North Providence, RI 02904

Other Names 1

Doing Business AsOur Lady Of Fatima Hospital

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Our Lady Of Fatima Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

69

Medicare enrollment records show 69 clinicians reassign Medicare billing to Our Lady Of Fatima Hospital, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 48 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Clinical Social Worker19
Nurse Practitioner11
Cardiovascular Disease (Cardiology)10
Psychiatry7
Mental Health Counselor4
General Surgery3
Podiatry3
Surgical Oncology3
6 other specialties9

Nearest to this location (20)

See all 69
Clinical Social Worker
NPI 1306368881
200 HIGH SERVICE AVE
North Providence, RI 02904
(401) 456-3034
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1639941263
200 HIGH SERVICE AVE
North Providence, RI 02904
(401) 456-3034
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1679952451
200 HIGH SERVICE AVE
N Providence, RI 02904
(401) 456-3000
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1326908385
200 HIGH SERVICE AVE
North Providence, RI 02904
(401) 456-3000
✔ PECOSSame address
Nurse Practitioner
NPI 1386241867
200 HIGH SERVICE AVE
North Providence, RI 02904
(401) 456-2000
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1710532817
200 HIGH SERVICE AVE
North Providence, RI 02904
(401) 456-3034
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1679837876
200 HIGH SERVICE AVE
North Providence, RI 02904
(401) 456-3000
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1366913873
200 HIGH SERVICE AVE
North Providence, RI 02904
(401) 456-3805
✔ PECOSSame address
Nurse Practitioner
NPI 1649856022
200 HIGH SERVICE AVE
N Providence, RI 02904
(401) 564-3034
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1215758347
200 HIGH SERVICE AVE
North Providence, RI 02904
(401) 456-3400
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1033695986
200 HIGH SERVICE AVE
N Providence, RI 02904
(401) 456-3000
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1538108857
1352 SMITH ST
North Providence, RI 02911
(401) 353-4500
✔ PECOS0.5 mi
Surgical Oncology
NPI 1235428384
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2464
✔ PECOS✔ Accepts Medicare2.0 mi
General Surgery
NPI 1588076558
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2000
✔ PECOS✔ Accepts Medicare2.0 mi
Nurse Practitioner
NPI 1649947706
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2000
✔ PECOS✔ Accepts Medicare2.0 mi
Mental Health Counselor
NPI 1104318138
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2000
✔ PECOS✔ Accepts Medicare2.0 mi
Clinical Social Worker
NPI 1346687001
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2152
✔ PECOS2.0 mi
Psychiatry
NPI 1780027888
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2000
✔ PECOS✔ Accepts Medicare2.0 mi
Pulmonary Disease
NPI 1578588067
1524 ATWOOD AVE SUITE 220
Johnson, RI 02919
(401) 272-1900
✔ PECOS2.9 mi
Cardiovascular Disease (Cardiology)
NPI 1629076351
1524 ATWOOD AVE
Providence, RI 02919
(401) 272-1900
✔ PECOS2.9 mi
See all 69 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 41D0083792

Our Lady Of Fatima Hospital-Pathology · North Providence, RI
Active · expires Apr 27, 2027
CLIA Number41D0083792
Laboratory TypeHospital
Certificate Effective DateApril 28, 2025
Certificate Expiration DateApril 27, 2027
Laboratory DirectorDr. Hashem Ayyad
Laboratory Phone(401) 456-3910
Laboratory LocationOur Lady Of Fatima Hospital-Pathology200 High Service Avenue Attn Maria Trivino Accts Payable, North Providence, RI 02904
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Chartercare Our Lady Of Fatima Hospital's NPI number?

The NPI number for Chartercare Our Lady Of Fatima Hospital is 1255160115. It was assigned to this organization in the NPPES registry on July 30, 2024. The provider is doing business as Our Lady Of Fatima Hospital.

Where is Chartercare Our Lady Of Fatima Hospital located?

Chartercare Our Lady Of Fatima Hospital is located at 200 High Service Ave, North Providence, RI 02904. The listed phone number is (401) 456-3000.

What is Chartercare Our Lady Of Fatima Hospital's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Chartercare Our Lady Of Fatima Hospital enrolled in Medicare?

Yes. Chartercare Our Lady Of Fatima Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chartercare Our Lady Of Fatima Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 69 clinicians in 14 Medicare specialties reassign their Medicare billing to Chartercare Our Lady Of Fatima Hospital. A 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 the clinician's services. The largest specialties are Clinical Social Worker (19), Nurse Practitioner (11) and Cardiovascular Disease (Cardiology) (10). Of these, 11 practice at this address and 48 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Chartercare Our Lady Of Fatima Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 41D0083792) is associated with this NPI, valid through April 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chartercare Our Lady Of Fatima Hospital was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.