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

Active since September 21, 2010CLIA 41D2244029 · Waiver
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: November 01, 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 a CLIA Waiver certificate valid through November 25, 2027, 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 11407 S County Trl Ste 410East Greenwich, RI 02818-1679 · Phone (401) 886-4040 · Fax (401) 421-2492
Location 2110 Clock Tower Sq Ste 100Portsmouth, RI 02871-1396 · Phone (401) 293-5600 · 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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

University Gastroenterology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

141

Medicare enrollment records show 141 clinicians reassign Medicare billing to University Gastroenterology, LLC, which bills Medicare for the services they deliver. Of these, 21 practice at this address and 93 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Certified Registered Nurse Anesthetist (CRNA)56
Gastroenterology39
Nurse Practitioner26
Diagnostic Radiology11
Pathology7
Anesthesiology1
Internal Medicine1

Nearest to this location (20)

See all 141
Gastroenterology
NPI 1467546051
33 STANIFORD STREET
Providence, RI 02905
(401) 421-8800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1265026272
33 STANIFORD ST FL 2
Providence, RI 02905
(401) 421-8800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306917521
33 STANIFORD ST
Providence, RI 02905
(401) 421-8800
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1346411253
33 STANIFORD ST FL 1
Providence, RI 02905
(401) 649-4229
✔ PECOSSame address
Nurse Practitioner
NPI 1790295285
33 STANIFORD ST
Providence, RI 02905
(401) 421-8800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1710823018
33 STANIFORD ST FL 1
Providence, RI 02905
(401) 421-8800
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1063583383
33 STANIFORD ST
Providence, RI 02905
(401) 421-8800
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1619263399
33 STANIFORD ST FL 1
Providence, RI 02905
(978) 289-0745
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1841587862
33 STANIFORD ST FL 1
Providence, RI 02905
(401) 421-8800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1487326245
33 STANIFORD ST FL 2
Providence, RI 02905
(401) 421-8800
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1619060548
33 STANIFORD ST FL 1
Providence, RI 02905
(401) 421-8800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053938886
33 STANIFORD ST FL 2
Providence, RI 02905
(401) 421-8800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1669269742
33 STANIFORD ST
Providence, RI 02905
(401) 421-8800
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1942302773
33 STANIFORD ST
Providence, RI 02905
(401) 421-8800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1679976187
33 STANIFORD ST
Providence, RI 02905
(401) 421-8800
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1447336904
33 STANIFORD ST
Providence, RI 02905
(401) 421-8800
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1659457133
33 STANIFORD ST
Providence, RI 02905
(401) 421-8800
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1811068141
33 STANIFORD ST
Providence, RI 02905
(401) 421-8800
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1710058052
33 STANIFORD ST
Providence, RI 02905
(401) 421-8800
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1508937889
33 STANIFORD ST
Providence, RI 02905
(401) 421-8800
✔ PECOS✔ Accepts MedicareSame address
See all 141 clinicians

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 41D2244029

University Gastroenterology · Providence, RI
Active · expires Nov 25, 2027
CLIA Number41D2244029
Laboratory TypePhysician Office
Certificate Effective DateNovember 26, 2025
Certificate Expiration DateNovember 25, 2027
Laboratory DirectorJason D. Ferreira
Laboratory Phone(401) 227-8393
Laboratory LocationUniversity Gastroenterology148 West River St 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.

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.

Is University Gastroenterology, LLC enrolled in Medicare?

Yes. University Gastroenterology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through University Gastroenterology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 141 clinicians in 7 Medicare specialties reassign their Medicare billing to University Gastroenterology, LLC. 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 Certified Registered Nurse Anesthetist (CRNA) (56), Gastroenterology (39) and Nurse Practitioner (26). Of these, 21 practice at this address and 93 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does University Gastroenterology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D2244029) is associated with this NPI, valid through November 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does University Gastroenterology, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list University Gastroenterology, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 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.