AMIR ALIZADEH, MD, INC
NPI 1366630576
Internal Medicine in North Providence, RI

Active since October 12, 2007CLIA Certified · 2 labs
1637 MINERAL SPRING AVE, SUITE 205, NORTH PROVIDENCE, RI 02904(401) 354-4400 Get Directions Write a Review

NPPES record last updated: October 31, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amir Alizadeh, Md, Inc NPPES

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

AMIR ALIZADEH, MD, INC (NPI 1366630576) is a healthcare organization registered as an internal medicine in North Providence, Rhode Island and active in the NPI registry since October 2007. The organization holds 2 active CLIA laboratory certificates and lists Amir Alizadeh, President, as its authorized official.

NPPES Registry Identity

NPI1366630576
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameAMIR ALIZADEH, MD, INC
Location Address1637 MINERAL SPRING AVE, SUITE 205North Providence, RI 02904-4042
Mailing Address1637 Mineral Spring Ave, Suite 205North Providence, RI 02904-4042
Organization SubpartNo
Authorized OfficialAmir AlizadehPresident · (401) 354-4400
Enumeration DateOctober 12, 2007
Last NPPES UpdateOctober 31, 2007
✔ NPI 1366630576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in RI · MD09932
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1637 MINERAL SPRING AVE, North Providence, RI 02904

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)

Amir Alizadeh, Md, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Amir Alizadeh, MD, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Internal Medicine
NPI 1942333877
1637 MINERAL SPRING AVE 107
North Providence, RI 02904
(401) 354-4400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1225806276
1637 MINERAL SPRING AVE STE 107
North Providence, RI 02904
(401) 354-4400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1457756488
150 CHESTNUT ST
Providence, RI 02903
(833) 229-0957
✔ PECOS✔ Accepts Medicare3.9 mi
Nurse Practitioner
NPI 1366937849
1150 RESERVOIR AVE STE 300
Cranston, RI 02920
(401) 223-2828
✔ PECOS✔ Accepts Medicare6.7 mi
Nurse Practitioner
NPI 1770689515
1054 CASS AVE
Woonsocket, RI 02895
(401) 232-7001
✔ PECOS9.7 mi

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 2

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 41D2017712

Amir Alizadeh, MD Inc · North Providence, RI
Active · expires Dec 15, 2026
CLIA Number41D2017712
Laboratory TypePhysician Office
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorDr. Amir Alizadeh MD
Laboratory Phone(401) 354-4400
Laboratory LocationAmir Alizadeh, MD Inc1637 Mineral Spring Avenue Ste 107, North Providence, RI 02904
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 41D2024194

Amir Alizadeh MD Inc · Cranston, RI
Active · expires May 10, 2027
CLIA Number41D2024194
Laboratory TypePhysician Office
Certificate Effective DateMay 11, 2025
Certificate Expiration DateMay 10, 2027
Laboratory DirectorAmir Alizadeh MD
Laboratory Phone(401) 354-4400
Laboratory LocationAmir Alizadeh MD Inc725 Reservoir Ave Ste 306, Cranston, RI 02920
CLIA data matches this NPI record on: 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 Amir Alizadeh, MD, Inc's NPI number?

The NPI number for Amir Alizadeh, MD, Inc is 1366630576. It was assigned to this organization in the NPPES registry on October 12, 2007.

Where is Amir Alizadeh, MD, Inc located?

Amir Alizadeh, MD, Inc is located at 1637 Mineral Spring Ave Suite 205, North Providence, RI 02904. The listed phone number is (401) 354-4400.

What is Amir Alizadeh, MD, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Amir Alizadeh, MD, Inc enrolled in Medicare?

Yes. Amir Alizadeh, MD, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Amir Alizadeh, MD, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Amir Alizadeh, MD, Inc. 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 Nurse Practitioner (4) and Internal Medicine (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Amir Alizadeh, MD, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Amir Alizadeh, MD, Inc was last updated on October 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.