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UNIVERSITY MEDICAL GROUP, INC
NPI 1255367942
Clinic/Center - Multi-Specialty in Providence, RI

Active since June 24, 2006
50 MAUDE ST, PROVIDENCE, RI 02908(401) 456-5368 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About University Medical Group, Inc NPPES

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

UNIVERSITY MEDICAL GROUP, INC (NPI 1255367942) is a healthcare organization registered as a multi-specialty in Providence, Rhode Island and active in the NPI registry since June 2006. The organization lists Tracy Wallace, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255367942
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameUNIVERSITY MEDICAL GROUP, INC
Location Address50 MAUDE STProvidence, RI 02908-4325
Mailing Address825 Chalkstone AveProvidence, RI 02908-4728 · (401) 456-2717
Phone(401) 456-5368
Organization SubpartNo
Authorized OfficialTracy WallaceCeo · (401) 456-2717
Enumeration DateJune 24, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1255367942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
50 MAUDE ST, Providence, RI 02908
Open in Google Maps ↗

Other Identifiers 1

MedicaidUM 24173RI

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.

ROGER WILLIAMS RADIATION THERAPY, LLC
Radiology (Radiation Oncology)
50 MAUDE ST
PROVIDENCE, RI 02908
Providence County (401) 456-2690
DANIEL N VALICENTI MD
Internal Medicine
50 MAUDE ST, 4TH FLOOR
PROVIDENCE, RI 02908
Providence County (401) 456-5300
MOHAMMAD ABDALLAT MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
50 MAUDE ST
PROVIDENCE, RI 02908
Providence County (401) 456-2077
NEW UNIVERSITY MEDICAL GROUP LLC
Internal Medicine
50 MAUDE ST
PROVIDENCE, RI 02908
Providence County (401) 456-2525
ROGER WILLIAMS MEDICAL CENTER
Home Health
50 MAUDE ST
PROVIDENCE, RI 02908
Providence County (401) 456-2273
ELINA GOMAN BASKIN O.D.
Optometrist
50 MAUDE ST
PROVIDENCE, RI 02908
Providence County (401) 351-5664
RABIH EL-BIZRI MD
Internal Medicine (Pulmonary Disease)
50 MAUDE ST
PROVIDENCE, RI 02908
Providence County (401) 456-5714
ELMHURST EXTENDED CARE FACILITIES, INC.
Skilled Nursing Facility
50 MAUDE ST
PROVIDENCE, RI 02908
Providence County (401) 456-2623

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 University Medical Group, Inc's NPI number?

The NPI number for University Medical Group, Inc is 1255367942. It was assigned to this organization in the NPPES registry on June 24, 2006.

Where is University Medical Group, Inc located?

University Medical Group, Inc is located at 50 Maude St, Providence, RI 02908. The listed phone number is (401) 456-5368.

What is University Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for University Medical Group, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.