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JACK ANAVIAN M.D.
NPI 1427286608
Orthopaedic Surgery in Providence, RI

Active since June 26, 2009PECOS EnrolledAccepts Medicare Assignment
2 DUDLEY ST, SUITE 200, PROVIDENCE, RI 02905(401) 444-3581(401) 444-3609 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jack Anavian M.d. NPPES

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

JACK ANAVIAN M.D. (NPI 1427286608) is an individual orthopaedic surgery provider in Providence, Rhode Island, licensed in Rhode Island (14549) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (2007).

NPPES Registry Identity

NPI1427286608
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJACK ANAVIANCredential: M.D.
Location Address2 DUDLEY ST, SUITE 200Providence, RI 02905-3236
Mailing Address2943 Highway 77Panama City, FL 32405-4411 · (850) 914-7060 · Fax (850) 914-7065
Phone(401) 444-3581
Fax(401) 444-3609
Sole ProprietorYes
Medical School CMSNew York University School Of MedicineGraduated 2007
Enumeration DateJune 26, 2009
Last NPPES UpdateOctober 28, 2021
NPPES CertifiedOctober 28, 2021
✔ NPI 1427286608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in RI · 14549
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2 DUDLEY ST, Providence, RI 02905
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jack Anavian M.d. 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 ID5092930768
PECOS Enrollment IDI20161122001029
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 Jack Anavian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
2,523 mi
Health Maintenance Organization
3527 W FLORIDA AVE
Hemet, CA 92545
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1982863783 (California)
  • 5,228 clinicians in this Medicare group
NPI 1013433465 (877) 608-0044

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 02905 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
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
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.

LARS STANGENBERG MD
Surgery (Vascular Surgery)
2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905
Providence County (401) 553-8318
ALICIA P CAPRIO
Student in an Organized Health Care Education/Training Program
2 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100
CHARLENE A TATE MD
Psychiatry & Neurology (Neurology)
2 DUDLEY ST, SUITE 555
PROVIDENCE, RI 02905
Providence County (401) 444-6168
DR. PHILLIP R LUCAS M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 457-2102
J DONALD EASTON MD
Psychiatry & Neurology (Neurology)
2 DUDLEY ST, SUITE 555
PROVIDENCE, RI 02905
Providence County (401) 444-6168
MRS. AMY POTTER PILOTTE APN, BC
Nurse Practitioner (Adult Health)
2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905
Providence County (401) 228-0595
NANCY ELEANOR STONE NP
Nurse Practitioner
2 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 453-4500
EDWARD J. MARCACCIO JR. MD
Surgery (Vascular Surgery)
2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905
Providence County (401) 553-8318

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 Jack Anavian's NPI number?

The NPI number for Jack Anavian is 1427286608. It was assigned to this individual provider in the NPPES registry on June 26, 2009.

Where is Jack Anavian located?

Jack Anavian practices at 2 Dudley St Suite 200, Providence, RI 02905. The listed phone number is (401) 444-3581.

What is Jack Anavian's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Jack Anavian enrolled in Medicare?

Yes. Jack Anavian 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.

Which organization bills Medicare for Jack Anavian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Anavian reassigns Medicare benefits to Southern California Permanente Medical Group (Hemet, CA). 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 Jack Anavian'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 Jack Anavian was last updated on October 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.