KELVIN NAM DOAN PA-C
NPI 1356691430
Physician Assistant - Surgical in Providence, RI

Q: What is Kelvin Doan's NPI number?

The NPI number for Kelvin Doan is 1356691430. It was assigned to this individual provider in the NPPES registry on September 14, 2012.

Q: What is Kelvin Doan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Kelvin Doan was last updated on January 29, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 14, 2012PECOS EnrolledAccepts Medicare Assignment

164 SUMMIT AVE # C70, PROVIDENCE, RI 02906(401) 793-4545(401) 793-7866 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kelvin Nam Doan Pa-c NPPES

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

KELVIN NAM DOAN PA-C (NPI 1356691430) is an individual surgical provider in Providence, Rhode Island, licensed in Rhode Island (PA00654) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1356691430

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameKELVIN NAM DOANCredential: PA-C

Location Address164 SUMMIT AVE # C70Providence, RI 02906-2853

Mailing AddressPo Box 16149Rumford, RI 02916-0697 · (401) 854-2428 · Fax (401) 435-7069

Phone(401) 793-4545

Fax(401) 793-7866

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateSeptember 14, 2012

Last NPPES UpdateJanuary 29, 2020

✔ NPI 1356691430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in RI · PA00654

164 SUMMIT AVE # C70, Providence, RI 02906

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelvin Nam Doan Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385895341

PECOS Enrollment IDI20121121000519

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAYLEE KURKOSKI PA-C

Physician Assistant (Surgical)