UNIVERSITY GASTROENTEROLOGY, LLC
NPI 1386952612
Internal Medicine - Gastroenterology in Providence, RI

Active since September 21, 2010CLIA Certified · 2 labs
33 STANIFORD ST, PROVIDENCE, RI 02905(401) 421-8800(401) 273-6510 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2024, May 24, 2022, Nov 19, 2021 and 6 more (9 updates tracked since 2017).

About University Gastroenterology, Llc NPPES

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

UNIVERSITY GASTROENTEROLOGY, LLC (NPI 1386952612) is a healthcare organization registered as a gastroenterology in Providence, Rhode Island and active in the NPI registry since September 2010. The organization holds 2 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists William T. Chen, Proivder, as its authorized official.

NPPES Registry Identity

NPI1386952612
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameUNIVERSITY GASTROENTEROLOGY, LLC
Location Address33 STANIFORD STProvidence, RI 02905
Mailing Address33 Staniford StProvidence, RI 02905-3105 · (401) 421-8800 · Fax (401) 273-6510
Fax(401) 273-6510
Organization SubpartNo
Authorized OfficialWilliam T. ChenProivder · (401) 421-8800
Enumeration DateSeptember 21, 2010
Last NPPES UpdateOctober 7, 20249 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
NPI 1386952612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedPathology · Clinical PathologyTaxonomy 207ZC0006X
Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
33 STANIFORD ST, Providence, RI 02905

Secondary Practice Locations 3

Location 1110 Clock Tower Sq Ste 100Portsmouth, RI 02871-1396 · Phone (401) 293-5600 · Fax (401) 421-2492
Location 21407 S County Trl Ste 410East Greenwich, RI 02818-1679 · Phone (401) 886-4040 · Fax (401) 421-2492
Location 3148 W River St Ste 3Providence, RI 02904-2615 · Phone (401) 421-6306 · Fax (401) 453-0330

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

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 for Provider-Performed Microscopy Procedures (PPMP) 41D0083810

University Gastroenterology · Providence, RI
Active · expires Aug 31, 2026
CLIA Number41D0083810
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorWilliam T. Chen
Laboratory Phone(401) 421-8800
Laboratory LocationUniversity Gastroenterology33 Staniford Street, Providence, RI 02905
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 41D2244029

University Gastroenterology, LLC · Providence, RI
Active · expires Nov 25, 2027
CLIA Number41D2244029
Laboratory TypePhysician Office
Certificate Effective DateNovember 26, 2025
Certificate Expiration DateNovember 25, 2027
Laboratory DirectorSheldon Lidofsky
Laboratory Phone(617) 447-7958
Laboratory LocationUniversity Gastroenterology, LLC148 West River Street Suite 3, Providence, RI 02904
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Gastroenterology)
33 STANIFORD ST
PROVIDENCE, RI 02905
Internal Medicine (Gastroenterology)
33 STANIFORD ST
PROVIDENCE, RI 02905
Internal Medicine (Gastroenterology)
33 STANIFORD ST
PROVIDENCE, RI 02905
Internal Medicine (Gastroenterology)
33 STANIFORD ST
PROVIDENCE, RI 02905
Internal Medicine (Gastroenterology)
33 STANIFORD ST
PROVIDENCE, RI 02905
Internal Medicine (Gastroenterology)
33 STANIFORD ST
PROVIDENCE, RI 02905
Internal Medicine (Gastroenterology)
33 STANIFORD ST
PROVIDENCE, RI 02905
Nurse Practitioner (Family)
33 STANIFORD ST
PROVIDENCE, RI 02905

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 University Gastroenterology, LLC's NPI number?

The NPI number for University Gastroenterology, LLC is 1386952612. It was assigned to this organization in the NPPES registry on September 21, 2010.

Where is University Gastroenterology, LLC located?

University Gastroenterology, LLC is located at 33 Staniford St, Providence, RI 02905. The listed phone number is (401) 421-8800.

What is University Gastroenterology, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does University Gastroenterology, LLC 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 University Gastroenterology, LLC was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.