DIABETES & ENDOCRINOLOGY ASSOCIATES, INC.
NPI 1407954415
Internal Medicine - Endocrinology, Diabetes & Metabolism in Providence, RI

Active since September 21, 2006CLIA 41D0084096 · Accreditation
100 HIGHLAND AVE, PROVIDENCE, RI 02906(401) 351-7100 Get Directions Write a Review

NPPES record last updated: January 12, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Diabetes & Endocrinology Associates, Inc. NPPES

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

DIABETES & ENDOCRINOLOGY ASSOCIATES, INC. (NPI 1407954415) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Providence, Rhode Island and active in the NPI registry since September 2006. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Charles B Kahn, President, as its authorized official.

NPPES Registry Identity

NPI1407954415
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameDIABETES & ENDOCRINOLOGY ASSOCIATES, INC.
Location Address100 HIGHLAND AVEProvidence, RI 02906-2740
Mailing Address100 Highland AveProvidence, RI 02906-2740 · (401) 351-7100
Organization SubpartNo
Authorized OfficialCharles B KahnPresident · (401) 351-7100
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJanuary 12, 2015
✔ NPI 1407954415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
100 HIGHLAND AVE, Providence, RI 02906

Other Identifiers 2

Medicaid9000831RI
Medicare PIN119000831RI

Group Practice 1

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diabetes & Endocrinology Associates, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Diabetes & Endocrinology Associates, Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Endocrinology
NPI 1346442563
100 HIGHLAND AVE SUITE 203
Providence, RI 02906
(401) 351-7100
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1598863599
100 HIGHLAND AVE 203
Providence, RI 02906
(401) 351-7100
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1407995640
100 HIGHLAND AVE
Providence, RI 02906
(401) 351-7100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1952315897
368 FAUNCE CORNER ROAD
North Dartmouth, MA 02747
(508) 985-5014
✔ PECOS✔ Accepts Medicare25 mi
Endocrinology
NPI 1467893826
41 MALL ROAD
Burlington, MA 01805
(781) 744-2088
✔ PECOS✔ Accepts Medicare45 mi

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 Accreditation 41D0084096

Diabetes & Endocrinology Assc Inc · Providence, RI
Active · expires Dec 22, 2027
CLIA Number41D0084096
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorRoberto Ortiz
Laboratory Phone(401) 351-7100
Laboratory LocationDiabetes & Endocrinology Assc Inc100 Highland Ave, Suite 203, Providence, RI 02906
CLIA data matches this NPI record on: Address Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Diabetes & Endocrinology Associates, Inc.'s NPI number?

The NPI number for Diabetes & Endocrinology Associates, Inc. is 1407954415. It was assigned to this organization in the NPPES registry on September 21, 2006.

Where is Diabetes & Endocrinology Associates, Inc. located?

Diabetes & Endocrinology Associates, Inc. is located at 100 Highland Ave, Providence, RI 02906. The listed phone number is (401) 351-7100.

What is Diabetes & Endocrinology Associates, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Diabetes & Endocrinology Associates, Inc. enrolled in Medicare?

Yes. Diabetes & Endocrinology Associates, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Diabetes & Endocrinology Associates, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Diabetes & Endocrinology Associates, Inc.. 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 Endocrinology (3), Internal Medicine (1) and Nurse Practitioner (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Diabetes & Endocrinology Associates, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 41D0084096) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Diabetes & Endocrinology Associates, Inc. was last updated on January 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.