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DR. MRIDULA MENON MD
NPI 1427045301
Internal Medicine in Lincoln, RI

Active since October 05, 2005PECOS EnrolledAccepts Medicare Assignment
6 BLACKSTONE VALLEY PL, SUITE 701, LINCOLN, RI 02865(401) 333-3111(401) 334-1217 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mridula Menon Md NPPES

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

DR. MRIDULA MENON MD (NPI 1427045301) is an individual internal medicine provider in Lincoln, Rhode Island, licensed in Rhode Island (MD11557) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Morton Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1427045301
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MRIDULA MENONCredential: MD
Location Address6 BLACKSTONE VALLEY PL, SUITE 701Lincoln, RI 02865-1179
Mailing Address10 Davol Sq, Suite 400Providence, RI 02903-4754 · (401) 421-4000 · Fax (401) 272-1456
Phone(401) 333-3111
Fax(401) 334-1217
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateOctober 5, 2005
Last NPPES UpdateApril 2, 2024
NPPES CertifiedApril 2, 2024
✔ NPI 1427045301 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 · MD11557
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.
6 BLACKSTONE VALLEY PL, Lincoln, RI 02865
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Other Identifiers 1

Medicaid2081156MA

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. Mridula Menon 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 ID6406817261
PECOS Enrollment IDI20110805000052
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 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.
245 services167 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.
77 services57 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.
68 services68 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
36 services36 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
28 services28 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
25 services25 patients

Hospital Affiliations CMS Care Compare 5

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

Morton Hospital

Acute Care Hospitals · Taunton, MA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number220073
Location88 Washington StreetTaunton, MA 02780 · Bristol County
Emergency services

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 02865 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 4

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

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
1 supplier12 claims216 services$2.22 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$2.39 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$23.53 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers30 claims30 services$195.01 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. ANDREW THOMAS THORP JR. MD, MBA
Internal Medicine (Cardiovascular Disease)
6 BLACKSTONE VALLEY PL
LINCOLN, RI 02865
Providence County (401) 762-3838
DEVEREUX
Community/Behavioral Health
6 BLACKSTONE VALLEY PL, SUITE 402
LINCOLN, RI 02865
Providence County (401) 305-7770
TANNERHILL, INC
Counselor
6 BLACKSTONE VALLEY PL, SUITE 402
LINCOLN, RI 02865
Providence County (401) 305-7770
REBECCA SMALL MSW
Social Worker (Clinical)
6 BLACKSTONE VALLEY PL
LINCOLN, RI 02865
Providence County (401) 245-6421
RUPINDER KAUR SANDHU DMD
Dentist
6 BLACKSTONE VALLEY PL
LINCOLN, RI 02865
Providence County (401) 333-5500
PAUL J PADULA MSN-FNP-C
Nurse Practitioner (Family)
6 BLACKSTONE VALLEY PL
LINCOLN, RI 02865
Providence County (401) 333-3111
DR. JAMES J WHALEN M.D.
Psychiatry & Neurology (Psychiatry)
6 BLACKSTONE VALLEY PL, BLDG 4, SUITE 401
LINCOLN, RI 02865
Providence County (401) 333-3435
SLEEP THERAPEUTICS, LLC
Clinic/Center (Sleep Disorder Diagnostic)
6 BLACKSTONE VALLEY PL, SUITE 705
LINCOLN, RI 02865
Providence County (877) 633-4699

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 Mridula Menon's NPI number?

The NPI number for Mridula Menon is 1427045301. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Where is Mridula Menon located?

Mridula Menon practices at 6 Blackstone Valley Pl Suite 701, Lincoln, RI 02865. The listed phone number is (401) 333-3111.

What is Mridula Menon's specialty?

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

Is Mridula Menon enrolled in Medicare?

Yes. Mridula Menon 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.

Is Mridula Menon affiliated with any hospitals?

According to CMS data, Mridula Menon is affiliated with Morton Hospital, 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 Mridula Menon was last updated on April 2, 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.