EAST BAY NEUROLOGY PROFESSIONAL CORPORATION
NPI 1275668006
Psychiatry & Neurology - Neurology in Pawtucket, RI
About East Bay Neurology Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST BAY NEUROLOGY PROFESSIONAL CORPORATION (NPI 1275668006) is a healthcare organization registered as a neurology in Pawtucket, Rhode Island and active in the NPI registry since February 2007. The organization lists Motasem A Al Yacoub, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
East Bay Neurology Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to East Bay Neurology Professional Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 East Bay Neurology Professional Corporation's NPI number?
The NPI number for East Bay Neurology Professional Corporation is 1275668006. It was assigned to this organization in the NPPES registry on February 22, 2007.
Where is East Bay Neurology Professional Corporation located?
East Bay Neurology Professional Corporation is located at 333 School St Ste 216, Pawtucket, RI 02860. The listed phone number is (401) 722-7300.
What is East Bay Neurology Professional Corporation's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is East Bay Neurology Professional Corporation enrolled in Medicare?
Yes. East Bay Neurology Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through East Bay Neurology Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to East Bay Neurology Professional Corporation, in Clinical Psychologist and Neurology. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does East Bay Neurology Professional Corporation accept?
Health plans from Anthem Blue Cross and Blue Shield list East Bay Neurology Professional Corporation 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.
When was this NPI record last updated?
The NPPES record for East Bay Neurology Professional Corporation was last updated on June 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# East Bay Neurology Professional Corporation · NPI 1275668006
Neurology organization in Pawtucket, Rhode Island. Organization record, active in the CMS NPPES registry since February 22, 2007.
## Identity
- **NPI:** 1275668006 (Entity type: Organization)
- **Enumerated:** February 22, 2007
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **Organization subpart:** No
- **Authorized official:** Motasem Al Yacoub, PRESIDENT
## Practice location
- **Address:** 333 SCHOOL ST STE 216, Pawtucket, RI 02860
- **Phone:** (401) 722-7300 · **Fax:** (401) 722-7390
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (1), Neurology (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 20, 2018
- **Other identifiers:** Medicaid 7006029 (RI)
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Source: [NPI Profile](https://npiprofile.com/npi/1275668006) · Data from the CMS NPPES public registry.