1. Home
  2. Directory
  3. Rhode Island
  4. Pawtucket
  5. Internal Medicine
  6. NPI Profile

NORTHEAST INTERNAL MEDICINE, INC.
NPI 1376746156
Internal Medicine in Pawtucket, RI

Active since June 07, 2007CLIA 41D2294419 · Waiver
126 PROSPECT ST, SUITE 103, PAWTUCKET, RI 02860(401) 725-8866(401) 725-8868 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Northeast Internal Medicine, Inc. NPPES

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

NORTHEAST INTERNAL MEDICINE, INC. (NPI 1376746156) is a healthcare organization registered as an internal medicine in Pawtucket, Rhode Island and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through November 26, 2027 and lists Sadia Iftikhar, Director, as its authorized official.

NPPES Registry Identity

NPI1376746156
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNORTHEAST INTERNAL MEDICINE, INC.
Location Address126 PROSPECT ST, SUITE 103Pawtucket, RI 02860-4476
Mailing Address126 Prospect St Ste 205Pawtucket, RI 02860-4429 · (401) 725-8866 · Fax (401) 725-8868
Phone(401) 725-8866
Fax(401) 725-8868
Organization SubpartNo
Authorized OfficialSadia IftikharDirector · (401) 725-8866
Enumeration DateJune 7, 2007
Last NPPES UpdateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
✔ NPI 1376746156 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 · MD10628
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.
126 PROSPECT ST, Pawtucket, RI 02860
Open in Google Maps ↗

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)

Northeast Internal Medicine, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Northeast Internal Medicine, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Sadia Iftikhar, MD
Internal Medicine
NPI 1730257957
126 PROSPECT ST STE 205
Pawtucket, RI 02860
(401) 725-8866
✔ PECOS✔ Accepts MedicareSame address
Jiaying Wen, M.D.
Internal Medicine
NPI 1275570921
174 ARMSTICE BLVD COPPOLA MEDICAL ASSOCIATE
Pawtucket, RI 02860
(401) 725-3520
✔ PECOS✔ Accepts Medicare0.8 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

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 41D2294419

Northeast Internal Medicine · Pawtucket, RI
Active · expires Nov 26, 2027
CLIA Number41D2294419
Laboratory TypePhysician Office
Certificate Effective DateNovember 27, 2025
Certificate Expiration DateNovember 26, 2027
Laboratory DirectorSadia Iftikhar
Laboratory Phone(401) 725-8866
Laboratory LocationNortheast Internal Medicine126 Prospect Street Suite 205, Pawtucket, RI 02860
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 Northeast Internal Medicine, Inc.'s NPI number?

The NPI number for Northeast Internal Medicine, Inc. is 1376746156. It was assigned to this organization in the NPPES registry on June 7, 2007.

Where is Northeast Internal Medicine, Inc. located?

Northeast Internal Medicine, Inc. is located at 126 Prospect St Suite 103, Pawtucket, RI 02860. The listed phone number is (401) 725-8866.

What is Northeast Internal Medicine, Inc.'s specialty?

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

Is Northeast Internal Medicine, Inc. enrolled in Medicare?

Yes. Northeast Internal Medicine, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeast Internal Medicine, Inc.?

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

Does Northeast Internal Medicine, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D2294419) is associated with this NPI, valid through November 26, 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 Northeast Internal Medicine, Inc. was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.