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LORETTA M. MARION DO
NPI 1285690313
Pediatrics in Providence, RI

Active since April 26, 2006PECOS Enrolled
355 PRAIRIE AVE, PROVIDENCE, RI 02905(401) 444-0570(401) 444-0427 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 14, 2023, Aug 1, 2022, Jun 4, 2021 (3 updates tracked since 2021).

About Loretta M. Marion Do NPPES

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

LORETTA M. MARION DO (NPI 1285690313) is an individual pediatrics provider in Providence, Rhode Island, licensed in Rhode Island (DO01075) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1285690313
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLORETTA M. MARIONCredential: DO
Location Address355 PRAIRIE AVEProvidence, RI 02905-1928
Mailing Address375 Allens AveProvidence, RI 02905-5010 · (401) 780-2511 · Fax (401) 780-2565
Phone(401) 444-0570
Fax(401) 444-0427
Sole ProprietorNo
Enumeration DateApril 26, 2006
Last NPPES UpdateDecember 14, 20233 updates tracked since enumeration
NPPES CertifiedDecember 14, 2023
✔ NPI 1285690313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in RI · DO01075✔ Licensed in PA · OS007739L✔ Licensed in SC · DO37583
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

355 PRAIRIE AVE, Providence, RI 02905
Open in Google Maps ↗

Secondary Practice Location 1

Location 1101 Dudley StProvidence, RI 02905-2401 · Phone (401) 274-1122 · Fax (401) 453-7571

Other Identifiers 1

Medicaid001592004PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Loretta M. Marion Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
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.

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.

SORAYA S. P. DARWOOD MD
Family Medicine
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 444-0570
PAMELA GONZALEZ MS
Counselor
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 444-0570
LUIS DAVID RODRIGUEZ MA, LMHC
Counselor (Mental Health)
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 276-4193
MS. ARLINE A CABRERA MSW
Counselor
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 921-8662
GABRIELA GARZA M.S.
Counselor
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 515-8844
ALIIA AGLIULLINA MD
Pediatrics
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 444-0570
SUMI SINGH MD
Internal Medicine
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 444-0570
ANDREW W. LEUKHARDT RN, CDOE
Registered Nurse (Diabetes Educator)
355 PRAIRIE AVE
PROVIDENCE, RI 02905
Providence County (401) 444-0570

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 Loretta Marion's NPI number?

The NPI number for Loretta Marion is 1285690313. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Loretta Marion located?

Loretta Marion practices at 355 Prairie Ave, Providence, RI 02905. The listed phone number is (401) 444-0570.

What is Loretta Marion's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Loretta Marion enrolled in Medicare?

Yes. Loretta Marion is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Loretta Marion was last updated on December 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.