DR. KAREN T TASHIMA MD
NPI 1396740551
Internal Medicine - Infectious Disease in Providence, RI

Active since June 15, 2005PECOS EnrolledAccepts Medicare Assignment
1125 N MAIN ST, PROVIDENCE, RI 02904(401) 793-2928 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2026, Nov 27, 2019, Jun 13, 2016 (3 updates tracked since 2016).

About Dr. Karen T Tashima Md NPPES

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

DR. KAREN T TASHIMA MD (NPI 1396740551) is an individual infectious disease provider in Providence, Rhode Island, licensed in Rhode Island (MD08951) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1396740551
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameDR. KAREN T TASHIMACredential: MD
Location Address1125 N MAIN STProvidence, RI 02904-5739
Mailing Address15 La Salle SqProvidence, RI 02903-1814 · (401) 444-6779 · Fax (401) 444-6912
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1988
Enumeration DateJune 15, 2005
Last NPPES UpdateMarch 17, 20263 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
NPI 1396740551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in RI · MD08951
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD08951 (RI)
1125 N MAIN ST, Providence, RI 02904

Secondary Practice Locations 4

Location 1164 Summit Ave, Fain Bldg., Suite EProvidence, RI 02906-2853 · Phone (401) 793-2928 · Fax (401) 793-7401
Location 2593 Eddy StProvidence, RI 02903-4923 · Phone (401) 444-7793 · Fax (401) 444-8179
Location 3180 Corliss St Ste E1Providence, RI 02904-2602 · Phone (401) 793-2928
Location 4180 Corliss St Ste E2Providence, RI 02904-2602 · Phone (401) 793-2928

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Karen T Tashima Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264416320
PECOS Enrollment IDI20040616000253, I20111115000801
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
44 services43 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
42 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
13 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02904 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
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 10

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

Internal Medicine (Infectious Disease)
1125 N MAIN ST
PROVIDENCE, RI 02904
Internal Medicine (Infectious Disease)
1125 N MAIN ST
PROVIDENCE, RI 02904
Internal Medicine
1125 N MAIN ST
PROVIDENCE, RI 02904
Nurse Practitioner (Adult Health)
1125 N MAIN ST
PROVIDENCE, RI 02904
Physician Assistant
1125 N MAIN ST
PROVIDENCE, RI 02904
Internal Medicine (Infectious Disease)
1125 N MAIN ST
PROVIDENCE, RI 02904
Internal Medicine (Infectious Disease)
1125 N MAIN ST
PROVIDENCE, RI 02904
Internal Medicine (Infectious Disease)
1125 N MAIN ST
PROVIDENCE, RI 02904

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396740551, enumerated as an "individual" on June 15, 2005.

The provider is located at 1125 N MAIN ST PROVIDENCE, RI 02904 and the phone number is (401) 793-2928.

Internal Medicine with taxonomy code 207RI0200X and a focus in Infectious Disease.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.

Karen Tashima is affiliated with: SOUTHCOAST HOSPITALS GROUP and THE MIRIAM HOSPITAL.