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DR. DENIS E MOONAN JR. M.D.
NPI 1386626174
Internal Medicine - Geriatric Medicine in North Providence, RI

Active since November 16, 2005
1515 SMITH ST, SUITE N, NORTH PROVIDENCE, RI 02911(401) 353-0555(401) 353-7079 Get Directions Write a Review

NPPES record last updated: September 9, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Denis E Moonan Jr. M.d. NPPES

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

DR. DENIS E MOONAN JR. M.D. (NPI 1386626174) is an individual geriatric medicine provider in North Providence, Rhode Island, licensed in Rhode Island (MD05654) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1386626174
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameDR. DENIS E MOONAN JR.Credential: M.D.
Location Address1515 SMITH ST, SUITE NNorth Providence, RI 02911-2947
Mailing Address1515 Smith St, Suite NNorth Providence, RI 02911-2947 · (401) 353-0555 · Fax (401) 353-7079
Phone(401) 353-0555
Fax(401) 353-7079
Sole ProprietorYes
Enumeration DateNovember 16, 2005
Last NPPES UpdateSeptember 9, 2016
✔ NPI 1386626174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in RI · MD05654
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X · License MD05654 (RI)
Also ListedPathology · Anatomic PathologyTaxonomy 207ZP0101X · License MD05654 (RI)
1515 SMITH ST, North Providence, RI 02911
Open in Google Maps ↗

Other Identifiers 4

Medicaid9002408RI
Medicare UPINC03521RI
Medicare PIN019002408RI
Other24088RI · Blue Cross Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Denis E Moonan Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Denis Moonan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prospect Chartercare Rwmc, LLC
1.7 mi
Internal Medicine
825 CHALKSTONE AVE
Providence, RI 02908
  • Reassigned Medicare billing, Rhode Island enrollment
  • 162 clinicians in this Medicare group
NPI 1285059287 (401) 456-2000

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

Other Providers at the Same Location NPPES 7

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

LOMBARDI MEDICAL ASSOCIATES, LLC
Internal Medicine
1515 SMITH ST, SUITE M
NORTH PROVIDENCE, RI 02911
Providence County (401) 228-8775
DR. FRANK BRUNO D'ALESSANDRO M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1515 SMITH ST
NORTH PROVIDENCE, RI 02911
Providence County (401) 353-1110
INTERNAL MEDICINE ENDOCRINOLOGY ASSOC, INC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1515 SMITH ST
NORTH PROVIDENCE, RI 02911
Providence County (401) 353-1110
NICHOLAS IANNUCCILLI MD
Radiology (Diagnostic Radiology)
1515 SMITH ST
NORTH PROVIDENCE, RI 02911
Providence County (401) 353-1600
DR. ROBERT ANTHONY PAOLELLA M.D.
Internal Medicine
1515 SMITH ST, SUITE M
NORTH PROVIDENCE, RI 02911
Providence County (401) 354-4384
ROBERT A. PAOLELLA, M.D., INC.
Internal Medicine
1515 SMITH ST, SUITE M.
NORTH PROVIDENCE, RI 02911
Providence County (401) 354-4384
NICHOLAS D IANNUCCILLI MD
Radiology (Diagnostic Radiology)
1515 SMITH ST, STE 6
NORTH PROVIDENCE, RI 02911
Providence County (401) 353-1600

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 Denis Moonan's NPI number?

The NPI number for Denis Moonan is 1386626174. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Denis Moonan located?

Denis Moonan practices at 1515 Smith St Suite N, North Providence, RI 02911. The listed phone number is (401) 353-0555.

What is Denis Moonan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Denis Moonan enrolled in Medicare?

Yes. Denis Moonan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Denis Moonan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denis Moonan reassigns Medicare benefits to Prospect Chartercare Rwmc, LLC (Providence, RI). The 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 Denis Moonan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Denis Moonan was last updated on September 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.