KATHRYN OTTAVIANO MD
NPI 1255890190
Student in an Organized Health Care Education/Training Program in Providence, RI
About Kathryn Ottaviano Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHRYN OTTAVIANO MD (NPI 1255890190) is an individual student in an organized health care education/training program in Providence, Rhode Island, licensed in (64204) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathryn Ottaviano Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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 Kathryn Ottaviano's NPI number?
The NPI number for Kathryn Ottaviano is 1255890190. It was assigned to this individual provider in the NPPES registry on March 19, 2019.
Where is Kathryn Ottaviano located?
Kathryn Ottaviano practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-4000.
What is Kathryn Ottaviano's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kathryn Ottaviano enrolled in Medicare?
Yes. Kathryn Ottaviano is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kathryn Ottaviano was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.
# Kathryn Ottaviano, MD · NPI 1255890190
Student in an Organized Health Care Education/Training Program provider in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since March 19, 2019.
## Identity
- **NPI:** 1255890190 (Entity type: Individual)
- **Enumerated:** March 19, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 64204
- **Sole proprietor:** No
## Practice location
- **Address:** 593 EDDY ST, Providence, RI 02903-4923
- **Phone:** (401) 444-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1255890190) · Data from the CMS NPPES public registry.