ROGER WILLIAMS MEDICAL CENTER
NPI 1326463548
Internal Medicine - Cardiovascular Disease in Providence, RI

Active since February 25, 2014CLIA 41D2283590 · Waiver
825 CHALKSTONE AVE, PROVIDENCE, RI 02908(401) 456-2000(401) 456-2029 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Roger Williams Medical Center NPPES

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

ROGER WILLIAMS MEDICAL CENTER (NPI 1326463548) is a healthcare organization registered as a cardiovascular disease in Providence, Rhode Island and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through June 8, 2027 and lists Robert Jon Elders, Secretary, as its authorized official.

NPPES Registry Identity

NPI1326463548
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePROSPECT CHARTERCARE RWMC, LLC
Location Address825 CHALKSTONE AVEProvidence, RI 02908-4728
Mailing Address825 Chalkstone AveProvidence, RI 02908-4728 · (401) 456-2000 · Fax (401) 456-2029
Fax(401) 456-2029
Organization SubpartNo
Authorized OfficialRobert Jon EldersSecretary · (714) 788-1249
Enumeration DateFebruary 25, 2014
Last NPPES UpdateJanuary 11, 2021
NPPES CertifiedJanuary 11, 2021
✔ NPI 1326463548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedNutritionistTaxonomy 133N00000X
825 CHALKSTONE AVE, Providence, RI 02908

Other Names 1

Doing Business AsRoger Williams Medical Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roger Williams Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

162

Medicare enrollment records show 162 clinicians reassign Medicare billing to Roger Williams Medical Center, which bills Medicare for the services they deliver. Of these, 22 practice at this address and 112 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 23

Clinical Social Worker32
Nurse Practitioner28
Internal Medicine25
Psychiatry14
Cardiovascular Disease (Cardiology)9
Orthopedic Surgery9
Surgical Oncology8
Hematology/Oncology6
15 other specialties31

Nearest to this location (20)

See all 162
Internal Medicine
NPI 1700504396
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2000
✔ PECOS✔ Accepts MedicareSame address
Surgical Oncology
NPI 1235428384
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2464
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1225434558
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2000
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1104318138
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2000
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1124479811
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-6565
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1447221866
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2363
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1144977448
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2000
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1376039867
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1598101925
825 CHALKSTONE AVE
Providence, RI 02908
(401) 474-4288
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1508344474
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2000
✔ PECOS✔ Accepts MedicareSame address
Surgical Oncology
NPI 1386272839
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2000
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1508264920
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-4807
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1861090508
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2000
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1780027888
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2000
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1841451341
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2179
✔ PECOSSame address
Medical Oncology
NPI 1003871336
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-6565
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1144731191
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-6565
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1023889391
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-4807
✔ PECOSSame address
Hematology/Oncology
NPI 1821043795
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2077
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1467459263
825 CHALKSTONE AVE
Providence, RI 02908
(401) 456-2077
✔ PECOS✔ Accepts MedicareSame address
See all 162 clinicians

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 41D2283590

Prospect Chartercare Rwmc LLC Dba Rwmc Cancer Center · Providence, RI
Active · expires Jun 8, 2027
CLIA Number41D2283590
Laboratory TypeCancer Center
Certificate Effective DateJune 9, 2025
Certificate Expiration DateJune 8, 2027
Laboratory DirectorMirela Stancu
Laboratory Phone(401) 456-3180
Laboratory LocationProspect Chartercare Rwmc LLC Dba Rwmc Cancer Center50 Maude St, Providence, RI 02908
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Prospect Chartercare Rwmc, LLC's NPI number?

The NPI number for Prospect Chartercare Rwmc, LLC is 1326463548. It was assigned to this organization in the NPPES registry on February 25, 2014. The provider is doing business as Roger Williams Medical Center.

Where is Prospect Chartercare Rwmc, LLC located?

Prospect Chartercare Rwmc, LLC is located at 825 Chalkstone Ave, Providence, RI 02908. The listed phone number is (401) 456-2000.

What is Prospect Chartercare Rwmc, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Prospect Chartercare Rwmc, LLC enrolled in Medicare?

Yes. Prospect Chartercare Rwmc, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prospect Chartercare Rwmc, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 162 clinicians in 23 Medicare specialties reassign their Medicare billing to Prospect Chartercare Rwmc, LLC. 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 Clinical Social Worker (32), Nurse Practitioner (28) and Internal Medicine (25). Of these, 22 practice at this address and 112 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Prospect Chartercare Rwmc, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D2283590) is associated with this NPI, valid through June 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prospect Chartercare Rwmc, LLC was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.