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SARAH CRIDDLE MD
NPI 1306422217
Student in an Organized Health Care Education/Training Program in Providence, RI

Active since March 22, 2021PECOS Enrolled
593 EDDY ST, PROVIDENCE, RI 02903(401) 444-4030 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 15, 2021, Mar 22, 2021 (2 updates tracked since 2021).

About Sarah Criddle Md NPPES

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

SARAH CRIDDLE MD (NPI 1306422217) is an individual student in an organized health care education/training program in Providence, Rhode Island, licensed in Rhode Island (LP05526) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1306422217
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSARAH CRIDDLECredential: MD
Location Address593 EDDY STProvidence, RI 02903
Mailing Address593 Eddy StProvidence, RI 02903-4923
Phone(401) 444-4030
Sole ProprietorNo
Enumeration DateMarch 22, 2021
Last NPPES UpdateJune 27, 20222 updates tracked since enumeration
NPPES CertifiedJune 27, 2022
✔ NPI 1306422217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Licenses✔ Licensed in RI · LP05526✔ Licensed in IL · 125.078061
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSurgeryTaxonomy 208600000X · License 125.078061 (IL)
593 EDDY ST, Providence, RI 02903
Open in Google Maps ↗

Secondary Practice Location 1

Location 1600 S Paulina StChicago, IL 60612-3806 · Phone (312) 942-7100

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sarah Criddle Md 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.

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.

DR. KEITH-AUSTIN SCARFO D.O.
Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Providence County (401) 444-3777
AILEEN HSUEH
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-8450
RHODE ISLAND HOSPITAL
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Providence County (401) 444-7585
DR. GA HIE NAM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-5057
EUGENIE ATALLAH
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-2645
BRIAN CAO MD
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-4286
BRET CAULFIELD
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4000
JUNG HO GONG
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 793-2695

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 Sarah Criddle's NPI number?

The NPI number for Sarah Criddle is 1306422217. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Where is Sarah Criddle located?

Sarah Criddle practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-4030.

What is Sarah Criddle's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sarah Criddle enrolled in Medicare?

Yes. Sarah Criddle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sarah Criddle was last updated on June 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.