THE MIRIAM HOSPITAL
NPI 1275810434
Clinic/Center - Medical Specialty in Providence, RI

Active since November 15, 2011
180 CORLISS ST STE E1, PROVIDENCE, RI 02904(401) 793-7401 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 11, 2025, Oct 22, 2021, Dec 12, 2016 (3 updates tracked since 2016).

About The Miriam Hospital NPPES

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

THE MIRIAM HOSPITAL (NPI 1275810434) is a healthcare organization registered as a medical specialty in Providence, Rhode Island and active in the NPI registry since November 2011. The organization maintains 2 additional practice locations and lists Peter K Markell, Evp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1275810434
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameTHE MIRIAM HOSPITAL
Location Address180 CORLISS ST STE E1Providence, RI 02904-2602
Mailing Address15 La Salle SqProvidence, RI 02903-1814 · (014) 446-7794 · Fax (401) 444-6912
Organization SubpartYesParent: Lifespan Corporation
Authorized OfficialPeter K MarkellEvp & Cfo · (401) 444-7914
Enumeration DateNovember 15, 2011
Last NPPES UpdateDecember 11, 20253 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1275810434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in RI · HOS00122
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
180 CORLISS ST STE E1, Providence, RI 02904

Other Names 1

Other NameImmunology Center At The Miriam Hospital

Secondary Practice Locations 2

Location 1180 Corliss St Ste FProvidence, RI 02904-2602 · Phone (401) 793-4715
Location 2180 Corliss St Ste E2Providence, RI 02904-2602 · Phone (401) 793-2928

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Miriam Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateRhode IslandEnrollment IDO20120405000306Non-DME Part B · Hospital Department(S)Due dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

45

Medicare enrollment records show 45 clinicians reassign Medicare billing to The Miriam Hospital, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 40 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Infectious Disease26
Nurse Practitioner7
Internal Medicine4
Clinical Social Worker3
Psychiatry2
Clinical Psychologist1
Pediatric Medicine1
Registered Dietitian or Nutrition Professional1

Nearest to this location (20)

See all 45
Clinical Social Worker
NPI 1821714569
180 CORLISS ST STE E1
Providence, RI 02904
(401) 793-2928
✔ PECOSSame address
Infectious Disease
NPI 1730126624
180 CORLISS ST STE E2
Providence, RI 02904
(401) 793-2928
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1144357583
180 CORLISS ST STE E1
Providence, RI 02904
(401) 793-7245
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1669008728
180 CORLISS ST STE E
Providence, RI 02904
(401) 793-2928
✔ PECOSSame address
Nurse Practitioner
NPI 1124453386
180 CORLISS ST STE C
Providence, RI 02904
(401) 793-4636
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1740929207
180 CORLISS ST STE E1
Providence, RI 02904
(401) 793-2928
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1851118715
180 CORLISS ST
Providence, RI 02904
(401) 793-2928
Same address
Clinical Social Worker
NPI 1134804578
180 CORLISS ST STE E1
Providence, RI 02904
(401) 793-3582
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1942826466
180 CORLISS ST STE E
Providence, RI 02904
(401) 793-2928
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1558390914
146 WEST RIVER STREET 3RD FLOOR
Providence, RI 02904
(401) 793-5700
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1336442540
845 N MAIN ST
Providence, RI 02904
(401) 648-7172
✔ PECOS✔ Accepts Medicare0.3 mi
Infectious Disease
NPI 1578820502
1125 N MAIN ST
Providence, RI 02904
(401) 793-2928
✔ PECOS✔ Accepts Medicare0.8 mi
Infectious Disease
NPI 1386883205
1125 N MAIN ST
Providence, RI 02904
(401) 793-2928
✔ PECOS✔ Accepts Medicare0.8 mi
Infectious Disease
NPI 1972543049
1125 N MAIN ST
Providence, RI 02904
(401) 793-2928
✔ PECOS✔ Accepts Medicare0.8 mi
Infectious Disease
NPI 1932301330
1125 N MAIN ST
Providence, RI 02904
(401) 793-2928
✔ PECOS✔ Accepts Medicare0.8 mi
Internal Medicine
NPI 1104072214
1125 N MAIN ST
Providence, RI 02904
(401) 793-2928
✔ PECOS✔ Accepts Medicare0.8 mi
Internal Medicine
NPI 1487609244
1125 N MAIN ST
Providence, RI 02904
(401) 793-2928
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1083090849
1125 N MAIN ST
Providence, RI 02904
(401) 793-2928
✔ PECOS✔ Accepts Medicare0.8 mi
Internal Medicine
NPI 1568409886
164 SUMMIT AVE
Providence, RI 02906
(401) 793-2928
✔ PECOS✔ Accepts Medicare1.0 mi
Clinical Psychologist
NPI 1447560487
164 SUMMIT AVE RISE BLDG., ROOM 157
Providence, RI 02906
(401) 793-3582
✔ PECOS✔ Accepts Medicare1.0 mi
See all 45 clinicians

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 The Miriam Hospital's NPI number?

The NPI number for The Miriam Hospital is 1275810434. It was assigned to this organization in the NPPES registry on November 15, 2011. The provider is also known as Immunology Center at The Miriam Hospital.

Where is The Miriam Hospital located?

The Miriam Hospital is located at 180 Corliss St Ste E1, Providence, RI 02904. The listed phone number is (401) 793-7401.

What is The Miriam Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is The Miriam Hospital enrolled in Medicare?

Yes. The Miriam Hospital is registered in the Medicare PECOS enrollment system.

When is The Miriam Hospital's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Rhode Island, Hospital Department(S)) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through The Miriam Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 45 clinicians in 8 Medicare specialties reassign their Medicare billing to The Miriam Hospital. 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. The largest specialties are Infectious Disease (26), Nurse Practitioner (7) and Internal Medicine (4). Of these, 9 practice at this address and 40 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for The Miriam Hospital was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.