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EDWARD MCGOOKIN MD
NPI 1427045905
Pediatrics in East Providence, RI

Active since September 30, 2005PECOS Enrolled
900 WARREN AVE, SUITE 200, EAST PROVIDENCE, RI 02914(401) 421-6481(401) 751-8734 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Edward Mcgookin Md NPPES

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

EDWARD MCGOOKIN MD (NPI 1427045905) is an individual pediatrics provider in East Providence, Rhode Island, licensed in Rhode Island (MD09577) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427045905
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameEDWARD MCGOOKINCredential: MD
Location Address900 WARREN AVE, SUITE 200East Providence, RI 02914-1430
Mailing Address10 Davol Sq, Suite 400Providence, RI 02903-4754 · (401) 421-4000 · Fax (401) 272-1456
Phone(401) 421-6481
Fax(401) 751-8734
Sole ProprietorNo
Enumeration DateSeptember 30, 2005
Last NPPES UpdateApril 9, 2024
NPPES CertifiedApril 9, 2024
✔ NPI 1427045905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in RI · MD09577
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
900 WARREN AVE, East Providence, RI 02914
Open in Google Maps ↗

Other Identifiers 2

Other709004047RI · Group Medicare
Medicaid9002715RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward Mcgookin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Edward Mcgookin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Coastal Medical Physicians, Inc.
1.0 mi
Internal Medicine
375 WAMPANOAG TRL
Riverside, RI 02915
  • Reassigned Medicare billing, Rhode Island enrollment
  • 268 clinicians in this Medicare group
NPI 1093678104 (401) 649-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
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 20

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

MATTHEW J FRANCO MD
Internal Medicine (Cardiovascular Disease)
900 WARREN AVE, SUITE 401
EAST PROVIDENCE, RI 02914
Providence County (800) 508-4908
SUZANNE BURNS MD
Internal Medicine
900 WARREN AVE, SUITE 400
EAST PROVIDENCE, RI 02914
Providence County (401) 331-1221
COASTAL MEDICAL, INC.
Non-Pharmacy Dispensing Site
900 WARREN AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 331-1221
MRS. MELISSA E INGS ACNP-BC
Nurse Practitioner (Acute Care)
900 WARREN AVE, SUITE 401
EAST PROVIDENCE, RI 02914
Providence County (800) 508-4908
DR. LARRY SCHOENFELD MD
Internal Medicine
900 WARREN AVE, SUITE 400
EAST PROVIDENCE, RI 02914
Providence County (401) 331-1221
COASTAL MEDICAL, INC
Internal Medicine
900 WARREN AVE, STE 401
EAST PROVIDENCE, RI 02914
Providence County (401) 421-4000
RENEE HEIDI MIGUEL
Nurse Practitioner
900 WARREN AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 331-1221
DR. MANOJ KUMAR GARG D.O.
Family Medicine
900 WARREN AVE, STE 100
EAST PROVIDENCE, RI 02914
Providence County (401) 383-9662

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 Edward Mcgookin's NPI number?

The NPI number for Edward Mcgookin is 1427045905. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is Edward Mcgookin located?

Edward Mcgookin practices at 900 Warren Ave Suite 200, East Providence, RI 02914. The listed phone number is (401) 421-6481.

What is Edward Mcgookin's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Edward Mcgookin enrolled in Medicare?

Yes. Edward Mcgookin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edward Mcgookin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Mcgookin reassigns Medicare benefits to Coastal Medical Physicians, Inc. (Riverside, RI). The 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 Edward Mcgookin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edward Mcgookin was last updated on April 9, 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.