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DR. NADEEM ANIS MD
NPI 1275513442
Internal Medicine in Providence, RI

Active since January 22, 2006PECOS EnrolledAccepts Medicare Assignment
164 SUMMIT AVE., PROVIDENCE, RI 02906(401) 793-2104(401) 793-4047 Get Directions Write a Review

NPPES record last updated: January 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nadeem Anis Md NPPES

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

DR. NADEEM ANIS MD (NPI 1275513442) is an individual internal medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD13396) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1275513442
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. NADEEM ANISCredential: MD
Location Address164 SUMMIT AVE.Providence, RI 02906
Mailing AddressPo Box 3238Boston, MA 02241 · (866) 689-8862 · Fax (207) 347-7401
Phone(401) 793-2104
Fax(401) 793-4047
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 22, 2006
Last NPPES UpdateJanuary 20, 2011
✔ NPI 1275513442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in RI · MD13396✔ Licensed in NY · 234029✔ Licensed in PA · MD427665
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License MD427665 (PA)
164 SUMMIT AVE., Providence, RI 02906
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Other Identifiers 3

Medicare ID-Type Unspecified260AJ1NY
Medicaid02621103NY
Medicare UPINK48641NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nadeem Anis 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.

PECOS PAC ID446218507
PECOS Enrollment IDI20110110000549
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
204 services101 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
130 services79 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
50 services50 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
39 services39 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
37 services37 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$52.09 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$28.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. DEEPAK RAVINDRA PRADHAN MD
Internal Medicine (Pulmonary Disease)
164 SUMMIT AVE.
PROVIDENCE, RI 02906
Providence County (401) 793-2104
SYED NAQVI MD
Internal Medicine
164 SUMMIT AVE.
PROVIDENCE, RI 02906
Providence County (401) 793-2104
DR. KRISTINA W BERGLUND MD
Internal Medicine
164 SUMMIT AVE.
PROVIDENCE, RI 02906
Providence County (401) 793-2104

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 Nadeem Anis's NPI number?

The NPI number for Nadeem Anis is 1275513442. It was assigned to this individual provider in the NPPES registry on January 22, 2006.

Where is Nadeem Anis located?

Nadeem Anis practices at 164 Summit Ave., Providence, RI 02906. The listed phone number is (401) 793-2104.

What is Nadeem Anis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nadeem Anis enrolled in Medicare?

Yes. Nadeem Anis 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.

Is Nadeem Anis affiliated with any hospitals?

According to CMS data, Nadeem Anis is affiliated with The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Nadeem Anis was last updated on January 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.