ALEX ETIENNE MD
NPI 1447221866
Internal Medicine - Addiction Medicine in Providence, RI

Active since February 01, 2006PECOS EnrolledAccepts Medicare Assignment
825 CHALKSTONE AVE, PROVIDENCE, RI 02908(401) 456-2363(401) 456-6744 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Alex Etienne Md NPPES

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

ALEX ETIENNE MD (NPI 1447221866) is an individual addiction medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD11719) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Roger Williams Medical Center, and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1447221866
Entity TypeIndividualMale
Primary Taxonomy207RA0401X
Provider Legal NameALEX ETIENNECredential: MD
Location Address825 CHALKSTONE AVEProvidence, RI 02908-4728
Mailing Address825 Chalkstone AveProvidence, RI 02908-4728 · (401) 456-2363 · Fax (401) 456-6744
Fax(401) 456-6744
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1996
Enumeration DateFebruary 1, 2006
Last NPPES UpdateMay 1, 2026
NPPES CertifiedMay 1, 2026
NPI 1447221866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License Licensed in RI · MD11719
Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD11719 (RI)
Also ListedHospitalistTaxonomy 208M00000X · License MD11719 (RI)
825 CHALKSTONE AVE, Providence, RI 02908

Secondary Practice Location 1

Location 1345 Blackstone BlvdProvidence, RI 02906-4800 · Phone (401) 455-6200

Other Identifiers 3

Medicaid7058051RI
Other412896RI · Blue Chip Of Ri
Other29918RI · Blue Cross Of Ri

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

Alex Etienne 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 ID4385662436
PECOS Enrollment IDI20051107000859
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 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
49 services12 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
20 services19 patients

Hospital Affiliations CMS Care Compare

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

Roger Williams Medical Center

Acute Care Hospitals · Providence, RI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number410004
Location825 Chalkstone AvenueProvidence, RI 02908 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02908 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.

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.

Internal Medicine (Hematology & Oncology)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Physician Assistant (Surgical)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Specialist
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Social Worker (Clinical)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Nutritionist
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Radiology (Vascular & Interventional Radiology)
825 CHALKSTONE AVE, ROGER WILLIAMS MEDICAL CENTER - IMAGING NETWORK OF RI
PROVIDENCE, RI 02908
Radiology (Diagnostic Radiology)
825 CHALKSTONE AVE, ROGERS WILLIAMS MEDICAL CENTER
PROVIDENCE, RI 02908
Physician Assistant
825 CHALKSTONE AVE
PROVIDENCE, RI 02908

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447221866, enumerated as an "individual" on February 01, 2006.

The provider is located at 825 CHALKSTONE AVE PROVIDENCE, RI 02908 and the phone number is (401) 456-2363.

Internal Medicine with taxonomy code 207RA0401X and a focus in Addiction Medicine.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.

Alex Etienne is affiliated with: ROGER WILLIAMS MEDICAL CENTER.