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

Active since November 16, 2005PECOS Enrolled
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: July 26, 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. He is enrolled in Medicare PECOS.

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
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

Other Identifiers 4

Medicaid9002408RI
Medicare UPINC03521RI
Medicare PIN019002408RI
Other24088RI · Blue Cross Blue Shield

Medicare Participation & PECOS CMS

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

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).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02911 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$177.03 typical visit price
range $58.57 – $177.03
Typical copayment $44.25 (range $14.64 – $44.25)
Most-billed visit code 99205
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine
1515 SMITH ST, SUITE M
NORTH PROVIDENCE, RI 02911
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1515 SMITH ST
NORTH PROVIDENCE, RI 02911
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1515 SMITH ST
NORTH PROVIDENCE, RI 02911
Radiology (Diagnostic Radiology)
1515 SMITH ST
NORTH PROVIDENCE, RI 02911
Internal Medicine
1515 SMITH ST, SUITE M
NORTH PROVIDENCE, RI 02911
Internal Medicine
1515 SMITH ST, SUITE M.
NORTH PROVIDENCE, RI 02911
Radiology (Diagnostic Radiology)
1515 SMITH ST, STE 6
NORTH PROVIDENCE, RI 02911

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.

When was this NPI record last updated?

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