DRS. CONCANNON AND VITALE, LLC
NPI 1366402018
Pediatrics in Cranston, RI

Q: What is Drs. Concannon And Vitale, LLC's NPI number?

The NPI number for Drs. Concannon And Vitale, LLC is 1366402018. It was assigned to this organization in the NPPES registry on March 26, 2006. The provider is doing business as Atlantic Pediatrics. The provider was formerly known as Drs. Concannon & Vitale, LLC.

Q: What is Drs. Concannon And Vitale, LLC's specialty?

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

Active since March 26, 2006CLIA 41D0083835 · Waiver

1145 RESERVOIR AVE, SUITE 124, CRANSTON, RI 02920(401) 943-7337(401) 942-1509 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2025, Dec 16, 2022 (2 updates tracked since 2022).

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About Drs. Concannon And Vitale, Llc NPPES

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

DRS. CONCANNON AND VITALE, LLC (NPI 1366402018), doing business as Atlantic Pediatrics, is a healthcare organization registered as a pediatrics in Cranston, Rhode Island and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through October 31, 2027 and lists John E Concannon, Senior Partner, as its authorized official.

NPPES Registry Identity

NPI1366402018

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameDRS. CONCANNON AND VITALE, LLC

Location Address1145 RESERVOIR AVE, SUITE 124Cranston, RI 02920-6055

Mailing Address1145 Reservoir Ave, Suite 124Cranston, RI 02920-6055 · (401) 943-7337 · Fax (401) 942-1509

Phone(401) 943-7337

Fax(401) 942-1509

Organization SubpartNo

Authorized OfficialJohn E ConcannonSenior Partner · (401) 943-7337

Enumeration DateMarch 26, 2006

Last NPPES UpdateAugust 13, 20252 updates tracked since enumeration

NPPES CertifiedAugust 13, 2025

✔ NPI 1366402018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in RI · DO-357

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.

1145 RESERVOIR AVE, Cranston, RI 02920

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Other Names 2

Doing Business AsAtlantic Pediatrics

Former Legal Business NameDrs. Concannon & Vitale, Llc

Other Identifiers 1

Medicaid601200661RI

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 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)

Drs. Concannon And Vitale, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Drs. Concannon And Vitale, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

John Concannon, DO

Pediatric Medicine

NPI 1962409128

1145 RESERVOIR AVE SUITE 124
Cranston, RI 02920

(401) 943-7337

✔ PECOSSame address

Colleen Vitale, M.D.

Pediatric Medicine

NPI 1396782223

1145 RESERVOIR AVE
Cranston, RI 02920

(401) 943-7337

✔ PECOSSame address

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 41D0083835

Drs Concannon & Vitale LLC · Cranston, RI

Active · expires Oct 31, 2027

CLIA Number41D0083835

Laboratory TypePractitioner Other

Certificate Effective DateNovember 1, 2025

Certificate Expiration DateOctober 31, 2027

Laboratory DirectorColleen Vitale

Laboratory Phone(401) 943-7337

Laboratory LocationDrs Concannon & Vitale LLC1145 Reservoir Avenue Suite 124, Cranston, RI 02920

CLIA data matches this NPI record on: Address Name Phone

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 Drs. Concannon And Vitale, LLC's NPI number?

The NPI number for Drs. Concannon And Vitale, LLC is 1366402018. It was assigned to this organization in the NPPES registry on March 26, 2006. The provider is doing business as Atlantic Pediatrics. The provider was formerly known as Drs. Concannon & Vitale, LLC.

Where is Drs. Concannon And Vitale, LLC located?

Drs. Concannon And Vitale, LLC is located at 1145 Reservoir Ave Suite 124, Cranston, RI 02920. The listed phone number is (401) 943-7337.

What is Drs. Concannon And Vitale, LLC's specialty?

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

Is Drs. Concannon And Vitale, LLC enrolled in Medicare?

Yes. Drs. Concannon And Vitale, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Drs. Concannon And Vitale, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Pediatric Medicine, reassign their Medicare billing to Drs. Concannon And Vitale, 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Drs. Concannon And Vitale, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D0083835) is associated with this NPI, valid through October 31, 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 Drs. Concannon And Vitale, LLC was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.