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DR. HERMAN AYVAZYAN MD
NPI 1417910555
Internal Medicine in East Providence, RI

Active since April 10, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 41D0931168 · Waiver
450 VETERANS MEMORIAL PKWY, EAST PROVIDENCE, RI 02914(401) 434-6464 Get Directions Write a Review

NPPES record last updated: October 16, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Herman Ayvazyan Md NPPES

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

DR. HERMAN AYVAZYAN MD (NPI 1417910555) is an individual internal medicine provider in East Providence, Rhode Island, licensed in Rhode Island (7061) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through July 23, 2027, and is affiliated with Our Lady Of Fatima Hospital.

NPPES Registry Identity

NPI1417910555
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. HERMAN AYVAZYANCredential: MD
Location Address450 VETERANS MEMORIAL PKWYEast Providence, RI 02914-5300
Mailing Address450 Veterans Memorial PkwyEast Providence, RI 02914-5300 · (401) 434-6464
Phone(401) 434-6464
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1985
Enumeration DateApril 10, 2006
Last NPPES UpdateOctober 16, 2012
✔ NPI 1417910555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in RI · 7061
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
450 VETERANS MEMORIAL PKWY, East Providence, RI 02914
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINC89742RI

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. Herman Ayvazyan 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 ID9133290851
PECOS Enrollment IDI20080624000058
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.

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 41D0931168

Herman Ayvazyan MD · East Providence, RI
Active · expires Jul 23, 2027
CLIA Number41D0931168
Laboratory TypePhysician Office
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorHerman Aybvazyan MD
Laboratory Phone(401) 434-6464
Laboratory LocationHerman Ayvazyan MD450 Veterans Memorial Pkwy #12, East Providence, RI 02914
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

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

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
241 services143 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
122 services122 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
120 services120 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
116 services116 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
104 services55 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
60 services38 patients

Hospital Affiliations CMS Care Compare 4

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

Our Lady Of Fatima Hospital

Acute Care Hospitals · North Providence, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410005
Location200 High Service AvenueNorth Providence, RI 02904 · Providence County
Emergency services

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410010
Location101 Dudley StreetProvidence, RI 02905 · Providence 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 02914 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers21 claims46 services$5.24 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers13 claims15 services$1.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. WILLIAM TURTLE MD
Pediatrics
450 VETERANS MEMORIAL PKWY, BLDG. 10
EAST PROVIDENCE, RI 02914
Providence County (401) 438-6888
ERIN L SHARAF PA
Physician Assistant
450 VETERANS MEMORIAL PKWY, BUILDING 14
EAST PROVIDENCE, RI 02914
Providence County (401) 435-6625
ANN GARRIS NP
Nurse Practitioner
450 VETERANS MEMORIAL PKWY, BLDG. 4
EAST PROVIDENCE, RI 02914
Providence County (401) 435-3400
SARAH DOROTHY MOSLEY RD, LDN
Dietitian, Registered
450 VETERANS MEMORIAL PKWY, 8C
EAST PROVIDENCE, RI 02914
Providence County (401) 396-9331
RADIOLOGY ASSOCIATES INC
Radiology (Diagnostic Radiology)
450 VETERANS MEMORIAL PKWY, BUILDING 2
EAST PROVIDENCE, RI 02914
Providence County (401) 435-3041
DR. DAVID S FARRELL MD
Dermatology
450 VETERANS MEMORIAL PKWY, BLDG. 11 UNIT B
EAST PROVIDENCE, RI 02914
Providence County (401) 438-9150
KAREN MCGOLDRICK MD
Obstetrics & Gynecology
450 VETERANS MEMORIAL PKWY
EAST PROVIDENCE, RI 02914
Providence County (401) 434-7853
RASHMI S LICHT MD
Urology
450 VETERANS MEMORIAL PKWY, BUILDING 14
E PROVIDENCE, RI 02914
Providence County (401) 435-6600

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 Herman Ayvazyan's NPI number?

The NPI number for Herman Ayvazyan is 1417910555. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Herman Ayvazyan located?

Herman Ayvazyan practices at 450 Veterans Memorial Pkwy, East Providence, RI 02914. The listed phone number is (401) 434-6464.

What is Herman Ayvazyan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Herman Ayvazyan enrolled in Medicare?

Yes. Herman Ayvazyan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Herman Ayvazyan hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D0931168) is associated with this NPI, valid through July 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Herman Ayvazyan affiliated with any hospitals?

According to CMS data, Herman Ayvazyan is affiliated with Our Lady Of Fatima Hospital, Rhode Island Hospital, Women & Infants Hospital Of Rhode Island and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Herman Ayvazyan was last updated on October 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.