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ZSOLT ORBAN MD
NPI 1275534281
Internal Medicine - Endocrinology, Diabetes & Metabolism in Pawtucket, RI

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
111 BREWSTER ST, PAWTUCKET, RI 02860(401) 729-2209(401) 729-3572 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 23, 2020, Oct 28, 2019, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Zsolt Orban Md NPPES

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

ZSOLT ORBAN MD (NPI 1275534281) is an individual endocrinology, diabetes & metabolism provider in Pawtucket, Rhode Island, licensed in Rhode Island (MD 10100) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1275534281
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameZSOLT ORBANCredential: MD
Location Address111 BREWSTER STPawtucket, RI 02860-4474
Mailing AddressDept 3010, Po Box 986524Boston, MA 02298-6524 · (833) 924-5546 · Fax (401) 784-4913
Phone(401) 729-2209
Fax(401) 729-3572
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateAugust 2, 2005
Last NPPES UpdateOctober 24, 20255 updates tracked since enumeration
NPPES CertifiedOctober 24, 2025
✔ NPI 1275534281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in RI · MD 10100
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedHospitalistTaxonomy 208M00000X · License 203509 (MA)
111 BREWSTER ST, Pawtucket, RI 02860
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1375 Wampanoag Trl Ste 202BRiverside, RI 02915-2234 · Phone (401) 649-4090 · Fax (401) 649-4091
Location 2363 Highland AveFall River, MA 02720-3703 · Phone (508) 973-5919 · Fax (508) 973-5916

Other Identifiers 8

Other110217181RI · Railroad Medicare
Other3864RI · Neighborhood Health
Other101000RI · Tufts Health Plan
Medicaid9002795RI
Other0000002795RI · B/s
Other04-02530RI · United Health Care
Other405822RI · Bchip
Other697705RI · Harvard Pilgrim Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.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

Zsolt Orban 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 ID941388185
PECOS Enrollment IDI20080429000211, I20171212002245
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Zsolt Orban reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifespan Physician Group Inc
1.8 mi
Urology
195 COLLYER ST STE 201
Providence, RI 02904
  • Reassigned Medicare billing, Rhode Island enrollment
  • 1,372 clinicians in this Medicare group
NPI 1720949803 (401) 272-7799
Rhode Island Hospital
4.4 mi
Multi-Specialty
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 358 clinicians in this Medicare group
NPI 1154537520 (401) 444-6905
Brown Medicine
4.7 mi
Gastroenterology
235 PLAIN ST STE 201
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 256 clinicians in this Medicare group
NPI 1730827767 (401) 861-8830
Southcoast Physicians Group, Inc.
30 mi
Emergency Medicine
208 MILL RD
Fairhaven, MA 02719
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,144 clinicians in this Medicare group
NPI 1861830143 (855) 319-0518
Physicians Of Cape Cod Hospital
59 mi
Neuroradiology
27 PARK ST
Hyannis, MA 02601
  • Reassigned Medicare billing, Massachusetts enrollment
  • 678 clinicians in this Medicare group
NPI 1679832364 (508) 957-8667

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

Areas of Expertise CMS Part B claims 2

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.

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.
45 services44 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.
39 services39 patients

Hospital Affiliations CMS Care Compare 2

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

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02860 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

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers14 claims56 services$4.25 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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAHMOUD MOWAFY M.D.
Internal Medicine
111 BREWSTER ST
PAWTUCKET, RI 02860
Providence County (401) 729-2258
ASHLEY NANCY MASTRANGELO DPM
Podiatrist (Foot & Ankle Surgery)
111 BREWSTER ST
PAWTUCKET, RI 02860
Providence County (401) 729-2977
JOHN RIEDEL MD
Emergency Medicine
111 BREWSTER ST, DEPARTMENT OF EMERGENCY MEDICINE
PAWTUCKET, RI 02860
Providence County (401) 729-2191
MEMORIAL HOSPITAL
General Acute Care Hospital
111 BREWSTER ST
PAWTUCKET, RI 02860
Providence County (401) 729-2836
JALEH FALLAH MD
Internal Medicine (Hematology & Oncology)
111 BREWSTER ST
PAWTUCKET, RI 02860
Providence County (401) 729-2258
MS. COLLEEN FOLEY-LUNT
Speech-Language Pathologist
111 BREWSTER ST, SPEECH LANGUAGE PATHOLOGY
PAWTUCKET, RI 02860
Providence County (508) 729-2316
MAXWELL VAN HOVEN MD
Family Medicine
111 BREWSTER ST
PAWTUCKET, RI 02860
Providence County (401) 737-7000
SCOTT MICHAEL CAMPBELL
Physical Therapist
111 BREWSTER ST, ND PHYSICAL THERAPY
PAWTUCKET, RI 02860
Providence County (401) 729-3481

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 Zsolt Orban's NPI number?

The NPI number for Zsolt Orban is 1275534281. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Zsolt Orban located?

Zsolt Orban practices at 111 Brewster St, Pawtucket, RI 02860. The listed phone number is (401) 729-2209.

What is Zsolt Orban's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Zsolt Orban enrolled in Medicare?

Yes. Zsolt Orban 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 Zsolt Orban's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zsolt Orban reassigns Medicare benefits to 5 organizations: Lifespan Physician Group Inc (Providence, RI), Rhode Island Hospital (Providence, RI), Brown Medicine (Providence, RI), Southcoast Physicians Group, Inc. (Fairhaven, MA) and Physicians Of Cape Cod Hospital (Hyannis, MA). 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 Zsolt Orban's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zsolt Orban accept?

Health plans from Taro Health list Zsolt Orban 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 Zsolt Orban affiliated with any hospitals?

According to CMS data, Zsolt Orban is affiliated with Southcoast Hospitals Group and Rhode Island Hospital.

When was this NPI record last updated?

The NPPES record for Zsolt Orban was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.